OBJECTID: 189
HCC_FCT_ID: 12639
SITE_SOURCE_ID: B68DD200-AA08-4CB3-A289-AAF48A7FD3A1
SITE_NM: Ascension St. Ben's Clinic
UDS_NUM:
SITE_PHONE_NUM: 414-527-8191
SITE_URL: https://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-St-Bens-Clinic
TOT_OPER_HR_PER_WEEK: 28
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 414DA666-5B23-40A2-98EC-4DC21BECEE76
GRANT_NUM: H80CS00034
GRANTEE_NM: OUTREACH COMMUNITY HEALTH CENTERS, INCORPORATED
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: 12112
SITE_ADDRESS_SOURCE_ID: 47FA7B44-BBF8-4FF9-89F9-A280E0EAF2DF
SITE_ESR_SOURCE_ID: D6CC0CC9-BE2A-4C83-B3D2-1044FB7A1574
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1004 N 10th St, Ste 100
SITE_CITY: Milwaukee
SITE_STATE_ABBR: WI
SITE_ZIP_CD: 53233-1472
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: 3
HCC_OPER_DESC: Contractor
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 079
COUNTY_NM: Milwaukee
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Milwaukee County
STATE_COUNTY_FIPS_CD: 55079
STATE_FIPS_CD: 55
STATE_NM: Wisconsin
US_SENATE_NM1: Ron Johnson
US_SENATE_NM2: Tammy Baldwin
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 04
CONG_DIST_NM: Wisconsin District 04
STATE_FIPS_CD_CONG_DIST_NUM: 5504
REPRESENTATIVE_NM: Gwen Moore
REPRESENTATIVE_URL: https://gwenmoore.house.gov
BPHC_SITE_NUM: BPS-H80-030525
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: 02411805-7859-4B2B-B5A4-5230143DF661
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 50
COUNTY_ID: 3092
CONG_DIST_ID: 9330
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Wisconsin
CMN_STATE_ABBR: WI
CMN_STATE_FIPS_CD: 55
CMN_STATE_COUNTY_FIPS_CD: 55079
CMN_COUNTY_NM_STATE_ABBR: Milwaukee County, WI
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 5504
CMN_CONG_DIST_NM: Wisconsin District 04
CMN_ZIP_CD: 53233
CMN_CITY_NUM: Milwaukee, WI
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: -87.92434795199995
Y: 43.043787243000054


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