| SHAPE |
Point |
| HCC_FCT_ID |
7887 |
| SITE_SOURCE_ID |
2A26DF0C-8E77-4F5B-B573-696DDD7EBD62 |
| SITE_NM |
CompleteCare Pediatric & Family Medical Professionals |
| UDS_NUM |
|
| SITE_PHONE_NUM |
856-451-4700 |
| SITE_URL |
www.completecarenj.org |
| TOT_OPER_HR_PER_WEEK |
42.5 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
882EF5D7-C2AB-400C-9A91-935C5EC7E90C |
| GRANT_NUM |
H80CS00164 |
| GRANTEE_NM |
COMMUNITY HEALTH CARE INC |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
Y |
| CH_SUB_PROG_IND |
Y |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
5076 |
| SITE_ADDRESS_SOURCE_ID |
C76AF90C-8F26-4F2A-9A3B-43598C70BAB4 |
| SITE_ESR_SOURCE_ID |
F90F235F-F685-413F-BCE2-4665306FCFFC |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
265 Irving Ave |
| SITE_CITY |
Bridgeton |
| SITE_STATE_ABBR |
NJ |
| SITE_ZIP_CD |
08302-2121 |
| 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 |
011 |
| COUNTY_NM |
Cumberland |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Cumberland County |
| STATE_COUNTY_FIPS_CD |
34011 |
| STATE_FIPS_CD |
34 |
| STATE_NM |
New Jersey |
| US_SENATE_NM1 |
Cory A. Booker |
| US_SENATE_NM2 |
Andy Kim |
| REGION_CD |
02 |
| REGION_NM |
Region 2 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
New Jersey District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
3402 |
| REPRESENTATIVE_NM |
Jefferson Van Drew |
| REPRESENTATIVE_URL |
https://vandrew.house.gov |
| BPHC_SITE_NUM |
BPS-H80-008827 |
| 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 |
D0B6F33E-2EF4-40D2-BD86-C159BD0EA160 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
2 |
| STATE_ID |
31 |
| COUNTY_ID |
1781 |
| CONG_DIST_ID |
9148 |
| CMN_REGION_CD |
02 |
| CMN_REGION_NM |
Region 2 |
| CMN_STATE_NM |
New Jersey |
| CMN_STATE_ABBR |
NJ |
| CMN_STATE_FIPS_CD |
34 |
| CMN_STATE_COUNTY_FIPS_CD |
34011 |
| CMN_COUNTY_NM_STATE_ABBR |
Cumberland County, NJ |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3402 |
| CMN_CONG_DIST_NM |
New Jersey District 02 |
| CMN_ZIP_CD |
08302 |
| CMN_CITY_NUM |
Bridgeton, NJ |
| 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. |