| SHAPE |
Point |
| HCC_FCT_ID |
18752 |
| SITE_SOURCE_ID |
FAEB9545-3727-43E3-B25F-FCB47F78C925 |
| SITE_NM |
OCHC Mobile Dental Unit - New Address |
| UDS_NUM |
|
| SITE_PHONE_NUM |
414-727-6320 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
24 |
| 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 |
1865 |
| SITE_ADDRESS_SOURCE_ID |
DBA54950-1ADB-4954-B992-188E5D2898FC |
| SITE_ESR_SOURCE_ID |
413189FE-84B3-4C7C-A29D-394892ECD773 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
220 W Capitol Dr |
| SITE_CITY |
Glendale |
| SITE_STATE_ABBR |
WI |
| SITE_ZIP_CD |
53212-1185 |
| 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 |
5 |
| HCC_LOC_DESC |
Mobile Van |
| 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-H80-038645 |
| 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 |
53212 |
| CMN_CITY_NUM |
Glendale, 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_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. |