| SHAPE |
Point |
| HCC_FCT_ID |
14405 |
| SITE_SOURCE_ID |
E1AC4690-E145-4F3C-BD8B-BF98BB149A55 |
| SITE_NM |
WEST SALEM CLINIC |
| UDS_NUM |
10076A |
| SITE_PHONE_NUM |
503-378-7526 |
| SITE_URL |
www.northwesthumanservices.org |
| TOT_OPER_HR_PER_WEEK |
58 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
AB678841-C764-4ACD-A217-A4455EA12C7D |
| GRANT_NUM |
H80CS00148 |
| GRANTEE_NM |
NORTHWEST HUMAN 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 |
N |
| SITE_ADDRESS_ID |
267 |
| SITE_ADDRESS_SOURCE_ID |
08322BD5-4B4F-4333-B383-036EEA599BC7 |
| SITE_ESR_SOURCE_ID |
9B85528C-610B-45C4-8744-916E48A66915 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1233 Edgewater St NW |
| SITE_CITY |
Salem |
| SITE_STATE_ABBR |
OR |
| SITE_ZIP_CD |
97304-4067 |
| 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 |
053 |
| COUNTY_NM |
Polk |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Polk County |
| STATE_COUNTY_FIPS_CD |
41053 |
| STATE_FIPS_CD |
41 |
| STATE_NM |
Oregon |
| US_SENATE_NM1 |
Ron Wyden |
| US_SENATE_NM2 |
Jeff Merkley |
| REGION_CD |
10 |
| REGION_NM |
Region 10 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
06 |
| CONG_DIST_NM |
Oregon District 06 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4106 |
| REPRESENTATIVE_NM |
Andrea Salinas |
| REPRESENTATIVE_URL |
https://salinas.house.gov |
| BPHC_SITE_NUM |
BPS-H80-004239 |
| 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 |
6C67DD8B-1343-435C-820E-DD1300FF283B |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
10 |
| STATE_ID |
38 |
| COUNTY_ID |
2236 |
| CONG_DIST_ID |
9350 |
| CMN_REGION_CD |
10 |
| CMN_REGION_NM |
Region 10 |
| CMN_STATE_NM |
Oregon |
| CMN_STATE_ABBR |
OR |
| CMN_STATE_FIPS_CD |
41 |
| CMN_STATE_COUNTY_FIPS_CD |
41053 |
| CMN_COUNTY_NM_STATE_ABBR |
Polk County, OR |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4106 |
| CMN_CONG_DIST_NM |
Oregon District 06 |
| CMN_ZIP_CD |
97304 |
| CMN_CITY_NUM |
Salem, OR |
| 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. |