OBJECTID: 1031
HCC_FCT_ID: 3035
SITE_SOURCE_ID: 36722751-309E-4FE3-A575-29279940573C
SITE_NM: MANTACHIE MEDICAL MOBILE UNIT
UDS_NUM:
SITE_PHONE_NUM: 662-282-4226
SITE_URL:
TOT_OPER_HR_PER_WEEK: 38
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: A3FCC1AE-CF5E-4C3A-B1CD-BE34B71CE454
GRANT_NUM: H80CS00096
GRANTEE_NM: Mantachie Rural Health Care Inc.
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: N
CH_SUB_PROG_IND: N
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: N
HCH_SUB_PROG_IND: N
SITE_ADDRESS_ID: 14199
SITE_ADDRESS_SOURCE_ID: 7152B097-92A8-46D3-A3D0-BE51ACD8336D
SITE_ESR_SOURCE_ID: F9B282F5-BFAC-45BE-9ABB-E822EC4FA594
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 5681A Highway 363
SITE_CITY: Mantachie
SITE_STATE_ABBR: MS
SITE_ZIP_CD: 38855-7632
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Unknown
HCC_LOC_SETTING_ID: 7
HCC_LOC_SETTING_DESC: All Other Clinic Types
HCC_STATUS_ID: 1
HCC_STATUS_DESC: Active
HCC_LOC_ID: 1
HCC_LOC_DESC: Permanent
HCC_TYP_ID: 2
HCC_TYP_DESC: Service Delivery Site
HCC_OPER_ID: 1
HCC_OPER_DESC: Health Center/Applicant
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 057
COUNTY_NM: Itawamba
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Itawamba County
STATE_COUNTY_FIPS_CD: 28057
STATE_FIPS_CD: 28
STATE_NM: Mississippi
US_SENATE_NM1: Roger F. Wicker
US_SENATE_NM2: Cindy Hyde-Smith
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: Mississippi District 01
STATE_FIPS_CD_CONG_DIST_NUM: 2801
REPRESENTATIVE_NM: Trent Kelly
REPRESENTATIVE_URL: https://trentkelly.house.gov/
BPHC_SITE_NUM: BPS-H80-038139
BHCMISID:
FQHC_LAL_NUM:
FQHC_ORG_NM:
FQHC_ADDRESS:
FQHC_CITY:
FQHC_STATE_ABBR:
FQHC_ZIP_CD:
FQHC_ADMIN_CONTACT_NM:
FQHC_ADMIN_CONTACT_PHONE_NUM:
FQHC_ADMIN_CONTACT_EMAIL:
RURAL_IND: Y
GRANT_SOURCE_ID: D2B54CE1-8AEE-4B72-AA69-7C3E7B376123
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 25
COUNTY_ID: 1430
CONG_DIST_ID: 9126
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Mississippi
CMN_STATE_ABBR: MS
CMN_STATE_FIPS_CD: 28
CMN_STATE_COUNTY_FIPS_CD: 28057
CMN_COUNTY_NM_STATE_ABBR: Itawamba County, MS
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 2801
CMN_CONG_DIST_NM: Mississippi District 01
CMN_ZIP_CD: 38855
CMN_CITY_NUM: Mantachie, MS
LOC_NAME: 02-ESRI,SO
SCORE: 100
APPROX_VALUE_CD: N
LOC_NAME_DESC: Data was matched at the Address level using AGOL, and Service Objects
HCP_COVID19_TEST_CAP_STATUS: Yes
HCP_COVID19_DU_TEST_CAP_STATUS: No
HCP_COVID19_TELE_CAP_STATUS: Yes
HCP_COVID19_TELEHEALTH_CAP_TXT: As of 05/14/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information.
HCP_COVID19_TEST_CAP: As of 05/14/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -88.49049069599994
Y: 34.323395176000076


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