OBJECTID: 1105
HCC_FCT_ID: 17320
SITE_SOURCE_ID: 41025C1A-25FB-4248-AAE9-E949A73CE00B
SITE_NM: Premier Community HealthCare Group, Inc. Mobile Dental Clinic #2
UDS_NUM:
SITE_PHONE_NUM: 352-518-2000
SITE_URL: www.premierhc.org
TOT_OPER_HR_PER_WEEK: 32
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 44AF73EB-8529-4822-9267-B34AA6C18E64
GRANT_NUM: H80CS00101
GRANTEE_NM: PREMIER COMMUNITY HEALTHCARE GROUP 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: 18278
SITE_ADDRESS_SOURCE_ID: C24996BA-6DFF-47C6-BCAA-F5A0C56E899B
SITE_ESR_SOURCE_ID: A28D2AB4-6F17-4282-A9C7-AB4543EB784E
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 37944 Pasco Ave
SITE_CITY: Dade City
SITE_STATE_ABBR: FL
SITE_ZIP_CD: 33525-4215
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: 5
HCC_LOC_DESC: Mobile Van
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: 101
COUNTY_NM: Pasco
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Pasco County
STATE_COUNTY_FIPS_CD: 12101
STATE_FIPS_CD: 12
STATE_NM: Florida
US_SENATE_NM1: Rick Scott
US_SENATE_NM2: Ashley Moody
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 12
CONG_DIST_NM: Florida District 12
STATE_FIPS_CD_CONG_DIST_NUM: 1212
REPRESENTATIVE_NM: Gus M. Bilirakis
REPRESENTATIVE_URL: https://bilirakis.house.gov/
BPHC_SITE_NUM: BPS-H80-031122
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: 0F8BF907-0AAC-4208-ABE7-7136B3DB1399
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 10
COUNTY_ID: 371
CONG_DIST_ID: 9006
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Florida
CMN_STATE_ABBR: FL
CMN_STATE_FIPS_CD: 12
CMN_STATE_COUNTY_FIPS_CD: 12101
CMN_COUNTY_NM_STATE_ABBR: Pasco County, FL
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1212
CMN_CONG_DIST_NM: Florida District 12
CMN_ZIP_CD: 33525
CMN_CITY_NUM: Dade City, FL
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_TELEHEALTH_CAP_TXT: As of 05/28/2021, 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 05/28/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -82.18787425299996
Y: 28.363590636000026


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