| SHAPE |
Point |
| HCC_FCT_ID |
4943 |
| SITE_SOURCE_ID |
4E4E13BC-D544-4129-BDBA-423D9220FB02 |
| SITE_NM |
Mercy Care at CHRIS 180 |
| UDS_NUM |
|
| SITE_PHONE_NUM |
404-486-9034 |
| SITE_URL |
www.mercyatlanta.org |
| TOT_OPER_HR_PER_WEEK |
17 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
2C03A87D-C345-43B0-A720-7123B26D89EE |
| GRANT_NUM |
H80CS00022 |
| GRANTEE_NM |
SAINT JOSEPH'S MERCY CARE SERVICES, 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 |
Y |
| SITE_ADDRESS_ID |
16485 |
| SITE_ADDRESS_SOURCE_ID |
EC7D1516-A0BB-4157-8F90-DD3BB831066E |
| SITE_ESR_SOURCE_ID |
1D2A85A7-3A7E-4AED-BFBC-892FF907A6FB |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1030 Fayetteville Rd SE |
| SITE_CITY |
Atlanta |
| SITE_STATE_ABBR |
GA |
| SITE_ZIP_CD |
30316-2921 |
| 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 |
089 |
| COUNTY_NM |
DeKalb |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
DeKalb County |
| STATE_COUNTY_FIPS_CD |
13089 |
| STATE_FIPS_CD |
13 |
| STATE_NM |
Georgia |
| US_SENATE_NM1 |
Jon Ossoff |
| US_SENATE_NM2 |
Raphael G. Warnock |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
05 |
| CONG_DIST_NM |
Georgia District 05 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1305 |
| REPRESENTATIVE_NM |
Nikema Williams |
| REPRESENTATIVE_URL |
https://nikemawilliams.house.gov |
| BPHC_SITE_NUM |
BPS-H80-030225 |
| 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 |
C1F6E8AE-3DC8-4B9C-9E6F-E45D363329CE |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
11 |
| COUNTY_ID |
431 |
| CONG_DIST_ID |
9026 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
Georgia |
| CMN_STATE_ABBR |
GA |
| CMN_STATE_FIPS_CD |
13 |
| CMN_STATE_COUNTY_FIPS_CD |
13089 |
| CMN_COUNTY_NM_STATE_ABBR |
DeKalb County, GA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1305 |
| CMN_CONG_DIST_NM |
Georgia District 05 |
| CMN_ZIP_CD |
30316 |
| CMN_CITY_NUM |
Atlanta, GA |
| LOC_NAME |
01-ESRI |
| SCORE |
99 |
| 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_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. |