OBJECTID: 1618
HCC_FCT_ID: 3187
SITE_SOURCE_ID: 0B1D43AC-2DAA-451C-8BA1-2A9A9ED5A777
SITE_NM: Mountain Park Health Center - Baseline
UDS_NUM: 09307A
SITE_PHONE_NUM: 602-243-7277
SITE_URL: www.mountainparkhealth.org
TOT_OPER_HR_PER_WEEK: 79
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: 16984
SITE_ADDRESS_SOURCE_ID: 4ADB0841-076E-4DD1-B652-E0EDB451FCB0
SITE_ESR_SOURCE_ID: A25A130D-EAE4-4BFC-826A-DF813394B0B5
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 635 E Baseline Rd
SITE_CITY: Phoenix
SITE_STATE_ABBR: AZ
SITE_ZIP_CD: 85042-6583
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Urban
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: 1
HCC_OPER_SCHD_DESC: Full-Time
HCC_CLND_SCHD_ID: 1
HCC_CLND_SCHD_DIM_DESC: Year-Round
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: 03
CONG_DIST_NM: Arizona District 03
STATE_FIPS_CD_CONG_DIST_NUM: 0403
REPRESENTATIVE_NM: Yassamin Ansari
REPRESENTATIVE_URL: https://ansari.house.gov/
BPHC_SITE_NUM: BPS-H80-000998
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: 8918
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: 0403
CMN_CONG_DIST_NM: Arizona District 03
CMN_ZIP_CD: 85042
CMN_CITY_NUM: Phoenix, 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_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: -112.06800614999997
Y: 33.37682968200005


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