| SHAPE |
Point |
| HCC_FCT_ID |
12195 |
| SITE_SOURCE_ID |
E9CB6AF0-E42D-40C2-8022-A4EBE1D49BE2 |
| SITE_NM |
OPEN DOOR MT. KISCO CLINIC |
| UDS_NUM |
02152G |
| SITE_PHONE_NUM |
914-406-8181 |
| SITE_URL |
www.opendoormedical.org |
| TOT_OPER_HR_PER_WEEK |
52 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
671D4ABF-1479-4C43-A823-0DFA7F6AF10D |
| GRANT_NUM |
H80CS00160 |
| GRANTEE_NM |
Open Door Family Medical Center, 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 |
8554 |
| SITE_ADDRESS_SOURCE_ID |
220692C3-6396-4DDF-A6DC-727B164F9216 |
| SITE_ESR_SOURCE_ID |
0A30387F-EB1F-4D8E-86EA-2A076DF84314 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
30 W Main St |
| SITE_CITY |
Mount Kisco |
| SITE_STATE_ABBR |
NY |
| SITE_ZIP_CD |
10549-1910 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Rural |
| 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 |
119 |
| COUNTY_NM |
Westchester |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Westchester County |
| STATE_COUNTY_FIPS_CD |
36119 |
| 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 |
17 |
| CONG_DIST_NM |
New York District 17 |
| STATE_FIPS_CD_CONG_DIST_NUM |
3617 |
| REPRESENTATIVE_NM |
Michael Lawler |
| REPRESENTATIVE_URL |
https://lawler.house.gov |
| BPHC_SITE_NUM |
BPS-H80-003593 |
| 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 |
67391D95-BCE6-48F5-98DA-B51655C8924E |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
2 |
| STATE_ID |
33 |
| COUNTY_ID |
1889 |
| CONG_DIST_ID |
9178 |
| 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 |
36119 |
| CMN_COUNTY_NM_STATE_ABBR |
Westchester County, NY |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3617 |
| CMN_CONG_DIST_NM |
New York District 17 |
| CMN_ZIP_CD |
10549 |
| CMN_CITY_NUM |
Mount Kisco, NY |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL, and Service Objects |
| 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. |