| SHAPE |
Point |
| HCC_FCT_ID |
3490 |
| SITE_SOURCE_ID |
C6ED673E-BD25-4AAF-8DE5-2F0CD2E0EF15 |
| SITE_NM |
Mountain Park Health Center - Tempe |
| UDS_NUM |
|
| SITE_PHONE_NUM |
602-243-7277 |
| SITE_URL |
www.mountainparkhealth.org |
| TOT_OPER_HR_PER_WEEK |
61 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
8591471E-466B-4C26-89FE-E4D7224DD436 |
| GRANT_NUM |
H80CS00141 |
| GRANTEE_NM |
MOUNTAIN PARK HEALTH CENTER |
| 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 |
1112 |
| SITE_ADDRESS_SOURCE_ID |
851FDBAF-FA47-4A97-81AF-0EB73734AB80 |
| SITE_ESR_SOURCE_ID |
60554040-33B6-4DF2-BD79-7BB9C2C053A7 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1840 E Broadway Rd |
| SITE_CITY |
Tempe |
| SITE_STATE_ABBR |
AZ |
| SITE_ZIP_CD |
85282-1614 |
| 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 |
013 |
| COUNTY_NM |
Maricopa |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Maricopa County |
| STATE_COUNTY_FIPS_CD |
04013 |
| STATE_FIPS_CD |
04 |
| STATE_NM |
Arizona |
| US_SENATE_NM1 |
Mark Kelly |
| US_SENATE_NM2 |
Ruben Gallego |
| REGION_CD |
09 |
| REGION_NM |
Region 9 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
04 |
| CONG_DIST_NM |
Arizona District 04 |
| STATE_FIPS_CD_CONG_DIST_NUM |
0404 |
| REPRESENTATIVE_NM |
Greg Stanton |
| REPRESENTATIVE_URL |
https://stanton.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-019497 |
| 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 |
FF8E23A1-8536-4C49-9BA5-AF0D82FF7E38 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
9 |
| STATE_ID |
3 |
| COUNTY_ID |
105 |
| CONG_DIST_ID |
8919 |
| CMN_REGION_CD |
09 |
| CMN_REGION_NM |
Region 9 |
| CMN_STATE_NM |
Arizona |
| CMN_STATE_ABBR |
AZ |
| CMN_STATE_FIPS_CD |
04 |
| CMN_STATE_COUNTY_FIPS_CD |
04013 |
| CMN_COUNTY_NM_STATE_ABBR |
Maricopa County, AZ |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
0404 |
| CMN_CONG_DIST_NM |
Arizona District 04 |
| CMN_ZIP_CD |
85282 |
| CMN_CITY_NUM |
Tempe, AZ |
| 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_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. |