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Facility Authority serves as a national reference directory for the commercial and healthcare construction sector, connecting service seekers, industry professionals, and researchers with licensed contractors, facility managers, and construction service providers operating across the United States. This page describes the geographic scope of the directory, what information to include when submitting a message, and how inquiries are processed and routed.
Service area covered
Facility Authority operates as a national-scope directory with coverage across all 50 states, with particular depth in commercial construction, healthcare facility construction, industrial facilities, and related building trades. The directory indexes service providers subject to state-level contractor licensing requirements, which vary by jurisdiction — for example, California contractor licensing is administered by the Contractors State License Board (CSLB), while Texas contractor registration and plumbing/electrical trades are governed by the Texas Department of Licensing and Regulation (TDLR).
Healthcare facility construction listings specifically reflect providers with demonstrated familiarity with the regulatory overlay imposed by the Centers for Medicare & Medicaid Services (CMS) and facilities accredited under the Joint Commission framework, which enforces NFPA 101 Life Safety Code compliance as a physical plant standard.
The directory distinguishes between four primary facility categories for classification purposes:
- Acute-care and hospital facilities — subject to CMS Conditions of Participation and state health department construction review
- Ambulatory surgery centers (ASCs) — subject to CMS certification standards and state licensure, typically requiring fire marshal inspection under NFPA 101
- General commercial and industrial facilities — governed by the International Building Code (IBC) as adopted at the state level, with additional OSHA overlay for industrial occupancies subject to 29 CFR 1910 standards
- Medical office buildings with clinical components — classification depends on occupancy type and whether the facility triggers healthcare-specific ventilation and life-safety requirements under ASHRAE Standard 170
Inquiries falling outside these categories — including purely residential construction or non-US facilities — are outside the scope of this directory's listings.
What to include in your message
Effective routing of a directory inquiry depends on the specificity of the information provided. Incomplete submissions result in delayed or unresolvable responses. The following structured breakdown identifies the fields that allow accurate matching to listed service providers or directory records:
- Project type — Identify the facility category (acute-care, ASC, commercial, industrial, or mixed-use) and the phase of work (new construction, renovation, tenant improvement, or maintenance contract).
- Geographic location — Provide at minimum the state and county. Metro-area identification accelerates routing, particularly in states such as Illinois, Florida, and New York where contractor licensing is administered at both state and municipal levels.
- Regulatory context — Note any known compliance requirements: CMS certification, Joint Commission accreditation, NFPA 101 occupancy classification, or specific permitting jurisdictions such as state health facility construction review programs.
- Scope of service sought — Distinguish between general contracting, specialty trade work (mechanical, electrical, plumbing), design-build, or construction management. Each represents a distinct licensing category under most state contractor licensing statutes.
- Urgency or timeline — Projects involving life-safety systems, active patient-care areas, or permitting deadlines should be flagged explicitly, as these affect provider matching criteria.
- Licensing verification needs — If the inquiry involves verifying whether a listed provider holds an active license in a specific state, identify the license type (e.g., Class A General Contractor, Mechanical Contractor, Electrical Contractor) and the issuing authority.
Submissions that include all 6 elements above receive priority routing within the directory's intake process.
Response expectations
Directory inquiries are processed in the order received. Standard response time for correctly completed submissions is 2 business days. Submissions missing project type, geographic location, or scope of service may require a follow-up clarification exchange before routing can proceed, which extends the effective response window.
Inquiries involving regulatory interpretation — for example, whether a specific facility triggers FGI Guidelines for Design and Construction of Hospitals review in a given state — are outside the scope of directory staff response. Those questions are appropriately directed to the relevant state health department, the authority having jurisdiction (AHJ), or a licensed design professional.
Permit status inquiries are similarly outside directory scope. Permitting records are maintained by local building departments and, for healthcare facilities in states with centralized review programs (including Illinois, Ohio, and New York), by designated state health facility construction agencies.
Additional contact options
For inquiries related to the structure or scope of the directory itself, the Facility Directory Purpose and Scope page provides classification methodology, listing criteria, and the regulatory framework governing which provider categories are included in the index.
For guidance on navigating the directory to locate specific provider types by trade, occupancy classification, or geographic region, the How to Use This Facility Resource page describes search and filtering parameters across the full listing set.
The Facility Listings index provides direct access to the provider database, organized by state, facility type, and trade category, with filtering options aligned to the classification structure described on this page.
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