AMENDMENT NUMBER TWO - Outpatient Midlevel Services for the Woodrow Wilson Keeble Memorial Health Care Center-Sisseton Indian Health Service, Sisseton, South Dakota.

To provide uninterrupted outpatient Midlevel Provider services for the Outpatient Department
(OPD), WWKMHCC with up to (2) Contract Providers. The Contract Providers shall perform
primary care services compatible with the IHS medical facility's operating capacity and
equipment, on the Lake Traverse Reservation. The care shall cover the range of primary care
typically provided in a rural civilian practice of similar size.