| SHAPE |
Point |
| HCC_FCT_ID |
7146 |
| SITE_SOURCE_ID |
BC40C54A-5753-4F49-BDBC-5ED173183D4A |
| SITE_NM |
Champlain Family Health |
| UDS_NUM |
|
| SITE_PHONE_NUM |
518-298-8241 |
| SITE_URL |
www.hhhn.org |
| TOT_OPER_HR_PER_WEEK |
62 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
466C3BE5-FA39-4523-9B85-99EDC1A61545 |
| GRANT_NUM |
H80CS00159 |
| GRANTEE_NM |
HUDSON HEADWATERS HEALTH NETWORK |
| 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 |
10589 |
| SITE_ADDRESS_SOURCE_ID |
483BD164-0E3F-4820-8A4E-8BA73D9533B0 |
| SITE_ESR_SOURCE_ID |
52A64349-1AFD-4474-BAC2-F9AECF8D862F |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
828 State Route 11 |
| SITE_CITY |
Champlain |
| SITE_STATE_ABBR |
NY |
| SITE_ZIP_CD |
12919-4966 |
| 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 |
019 |
| COUNTY_NM |
Clinton |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Clinton County |
| STATE_COUNTY_FIPS_CD |
36019 |
| STATE_FIPS_CD |
36 |
| STATE_NM |
New York |
| US_SENATE_NM1 |
Charles E. Schumer |
| US_SENATE_NM2 |
Kirsten E. Gillibrand |
| REGION_CD |
02 |
| REGION_NM |
Region 2 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
21 |
| CONG_DIST_NM |
New York District 21 |
| STATE_FIPS_CD_CONG_DIST_NUM |
3621 |
| REPRESENTATIVE_NM |
Elise M. Stefanik |
| REPRESENTATIVE_URL |
https://stefanik.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-017099 |
| 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 |
Y |
| GRANT_SOURCE_ID |
78CB7897-C480-4F86-9499-6E80806275AD |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
2 |
| STATE_ID |
33 |
| COUNTY_ID |
1839 |
| CONG_DIST_ID |
9182 |
| CMN_REGION_CD |
02 |
| CMN_REGION_NM |
Region 2 |
| CMN_STATE_NM |
New York |
| CMN_STATE_ABBR |
NY |
| CMN_STATE_FIPS_CD |
36 |
| CMN_STATE_COUNTY_FIPS_CD |
36019 |
| CMN_COUNTY_NM_STATE_ABBR |
Clinton County, NY |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3621 |
| CMN_CONG_DIST_NM |
New York District 21 |
| CMN_ZIP_CD |
12919 |
| CMN_CITY_NUM |
Champlain, NY |
| LOC_NAME |
01-ESRI |
| SCORE |
98 |
| 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. |