Dispatch Request for Midmark Delivery: Des Moines VA-647-MDS-8690130 8690168
Closed
Please see the following technician request details for Midmark delivery.
Request Type: Medical Equipment Delivery
Date of Delivery: 1/14/2026
Delivery Time: 0830
Time Technician needs to arrive at location: 0800
Estimated Time on Site (hours): 2
Product: (1) 647-001, (1) 002-1119-855
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
Customer Name: Des Moines VA
Customer POC: Howard Burnett- 515-699-5999 ext 2-4270
Bruce Hancock- 515-699-5999 ext 2-1441
Customer POC Email: Howard.Burnett@va.gov Bruce.Hancock@va.gov
Customer Street:
3600 30th Street
Des Moines, Iowa 50310
Please reach out to me with any further questions.
12/24/25 AJinerson - Discussed w/ ASC KKelch who is checking with closest tech to see if available to cover this on 1/14.
(Tech is currently on PTO so we may not get response until 12/29)
12/24/25 AJinerson - Checking w/ FOM DC to confirm which FSE to use. Closest tech is 3.5 hours/217 miles 1 way.
🔧Work Performed
installed and function tested one exam chair
🔍Technician Findings
midmark to deliver 1 chair
⚠️Problem Description
Please see the following technician request details for Midmark delivery.
Request Type: Medical Equipment Delivery
Date of Delivery: 1/14/2026
Delivery Time: 0830
Time Technician needs to arrive at location: 0800
Estimated Time on Site (hours): 2
Product: (1) 647-001, (1) 002-1119-855
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
Customer Name: Des Moines VA
Customer POC: Howard Burnett- 515-699-5999 ext 2-4270
Bruce Hancock- 515-699-5999 ext 2-1441
Customer POC Email: Howard.Burnett@va.gov Bruce.Hancock@va.gov
Customer Street:
3600 30th Street
Des Moines, Iowa 50310
Please reach out to me with any further questions.
📞
Call
Completed Dec 24, 2025
No call required.
Jan 16, 2026 3:20pm
@Thomas Langenberg @Craig Dempsey I show it would take the tech about 3:25 hours one way to get to this location but I am only seeing .50 one way can you please let me know where the rest of the time was placed I can't charge for lodging if the hours are not more than 8.
📅
WO-01328004 - Delivery - Des Moines - VA Des Moines
Jan 14, 2026 9:30am – 11:30am
Work Order: WO-01328004
Account: MIDMARK
Customer Case Number: 8690130 8690168
Location: VA Des Moines
Address: 3600 30th St, Des Moines, IA 50310
Manufacturer:
Model #:
Serial #:
Contact Name: Howard Burnett
Contact Phone: 515-699-5999 ext 2-4270
Contact Email: howard.burnett@va.gov
Due Date: 1/
WORD_X
Midmark Delivery Service Expectations
Dec 24, 2025
EXCEL_X
2022 Serial File Midmark
Dec 24, 2025
WORD_X
Service Request Document
Dec 24, 2025
EXCEL_X
Medical Observation Form Rev 3.29.2022
Dec 24, 2025
PDF
647
Dec 24, 2025
EXCEL_X
va2
Jan 14, 2026
PDF
va3
Jan 14, 2026
EXCEL_X
va1
Jan 14, 2026
Timeline
📞
Case Linked Dec 23, 3:56 PM
Case Number:00553979
Subject:Dispatch Request for Midmark Delivery: Des Moines VA-647-MDS-8690130 8690168