OBJECTID: 1197
HCC_FCT_ID: 15046
SITE_SOURCE_ID: 32C9F69C-F136-4CFB-96DB-CA7ACF508EF0
SITE_NM: Mobile Oral Health Unit
UDS_NUM:
SITE_PHONE_NUM: 773-995-6300
SITE_URL:
TOT_OPER_HR_PER_WEEK: 10
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 43DC3B4B-2B4F-4245-9E2F-E7C51CF4F018
GRANT_NUM: H80CS00109
GRANTEE_NM: TCA HEALTH, INC. NFP
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: 17818
SITE_ADDRESS_SOURCE_ID: 7C61F17F-3F71-4433-B80E-EF77F59D0950
SITE_ESR_SOURCE_ID: FCD3D7CD-7D6A-45A8-9180-7F4DE22F04A9
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1029 E 130th St
SITE_CITY: Chicago
SITE_STATE_ABBR: IL
SITE_ZIP_CD: 60628-6908
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Unknown
HCC_LOC_SETTING_ID: 2
HCC_LOC_SETTING_DESC: School
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: 031
COUNTY_NM: Cook
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Cook County
STATE_COUNTY_FIPS_CD: 17031
STATE_FIPS_CD: 17
STATE_NM: Illinois
US_SENATE_NM1: Richard J. Durbin
US_SENATE_NM2: Tammy Duckworth
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: Illinois District 02
STATE_FIPS_CD_CONG_DIST_NUM: 1702
REPRESENTATIVE_NM: Robin L. Kelly
REPRESENTATIVE_URL: https://robinkelly.house.gov/
BPHC_SITE_NUM: BPS-H80-037644
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: N
GRANT_SOURCE_ID: FEF33775-EB6E-4343-A4B6-88214DEF5884
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 14
COUNTY_ID: 611
CONG_DIST_ID: 9041
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Illinois
CMN_STATE_ABBR: IL
CMN_STATE_FIPS_CD: 17
CMN_STATE_COUNTY_FIPS_CD: 17031
CMN_COUNTY_NM_STATE_ABBR: Cook County, IL
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1702
CMN_CONG_DIST_NM: Illinois District 02
CMN_ZIP_CD: 60628
CMN_CITY_NUM: Chicago, IL
LOC_NAME: 01-ESRI
SCORE: 100
APPROX_VALUE_CD: N
LOC_NAME_DESC: Data was matched at the Address level using AGOL
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: -87.59555698699995
Y: 41.659629006000046


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