| SHAPE |
Point |
| HCC_FCT_ID |
15052 |
| SITE_SOURCE_ID |
94552F37-CE66-4FE0-B7BA-CA97B11D80C3 |
| SITE_NM |
Middle Way House Clinic |
| UDS_NUM |
|
| SITE_PHONE_NUM |
812-829-1660 |
| SITE_URL |
https://middlewayhouse.org/ |
| TOT_OPER_HR_PER_WEEK |
3 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
A8B6053E-F096-4B42-AAF2-ABF88DDC0C35 |
| GRANT_NUM |
H80CS00114 |
| GRANTEE_NM |
Health Net, Inc. |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
Y |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
Y |
| SITE_ADDRESS_ID |
11705 |
| SITE_ADDRESS_SOURCE_ID |
07415E59-8E54-4DF2-9AD1-9CF64EB9F0FC |
| SITE_ESR_SOURCE_ID |
F8C8EFFA-A953-4CED-8EA3-3911AE257F1F |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
338 S Washington St |
| SITE_CITY |
Bloomington |
| SITE_STATE_ABBR |
IN |
| SITE_ZIP_CD |
47401-3529 |
| 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 |
105 |
| COUNTY_NM |
Monroe |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Monroe County |
| STATE_COUNTY_FIPS_CD |
18105 |
| STATE_FIPS_CD |
18 |
| STATE_NM |
Indiana |
| US_SENATE_NM1 |
Todd Young |
| US_SENATE_NM2 |
Jim Banks |
| REGION_CD |
05 |
| REGION_NM |
Region 5 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
09 |
| CONG_DIST_NM |
Indiana District 09 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1809 |
| REPRESENTATIVE_NM |
Erin Houchin |
| REPRESENTATIVE_URL |
https://houchin.house.gov |
| BPHC_SITE_NUM |
BPS-H80-035684 |
| 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 |
5C96EA48-6EAA-4C6D-AE55-D39F58966417 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
5 |
| STATE_ID |
15 |
| COUNTY_ID |
750 |
| CONG_DIST_ID |
9065 |
| CMN_REGION_CD |
05 |
| CMN_REGION_NM |
Region 5 |
| CMN_STATE_NM |
Indiana |
| CMN_STATE_ABBR |
IN |
| CMN_STATE_FIPS_CD |
18 |
| CMN_STATE_COUNTY_FIPS_CD |
18105 |
| CMN_COUNTY_NM_STATE_ABBR |
Monroe County, IN |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1809 |
| CMN_CONG_DIST_NM |
Indiana District 09 |
| CMN_ZIP_CD |
47401 |
| CMN_CITY_NUM |
Bloomington, IN |
| 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 05/28/2021, 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 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |