| SHAPE |
Point |
| HCC_FCT_ID |
15675 |
| SITE_SOURCE_ID |
BDC87CA3-83FB-4A99-A989-D34C86E337EA |
| SITE_NM |
Dorsey Family Medical Clinic |
| UDS_NUM |
|
| SITE_PHONE_NUM |
662-282-4226 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
46.5 |
| 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 |
13793 |
| SITE_ADDRESS_SOURCE_ID |
D7130E4B-BC07-4092-A562-B896FF9BE524 |
| SITE_ESR_SOURCE_ID |
52027A38-671A-4265-BDB2-B2F9F175DFD0 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
905 Bethel Church Rd |
| SITE_CITY |
Fulton |
| SITE_STATE_ABBR |
MS |
| SITE_ZIP_CD |
38843-8894 |
| 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-H80-040688 |
| 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 |
38843 |
| CMN_CITY_NUM |
Fulton, MS |
| LOC_NAME |
01-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_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. |
| 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. |