OBJECTID: 1948
HCC_FCT_ID: 17126
SITE_SOURCE_ID: 2F9D2613-B091-4C29-A632-E65B25A4D82C
SITE_NM: CompleteCare Medical Professionals
UDS_NUM:
SITE_PHONE_NUM: 856-451-4700
SITE_URL: www.completecarenj.org
TOT_OPER_HR_PER_WEEK: 55.5
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: 8435
SITE_ADDRESS_SOURCE_ID: CC0ABFCD-609C-44F6-AB42-70CB4CECC9F5
SITE_ESR_SOURCE_ID: BEA5F375-C0EE-4413-9C7A-4D7EAC23C7E2
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 717 Delsea Dr
SITE_CITY: Pitman
SITE_STATE_ABBR: NJ
SITE_ZIP_CD: 08071
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: 015
COUNTY_NM: Gloucester
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Gloucester County
STATE_COUNTY_FIPS_CD: 34015
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: 01
CONG_DIST_NM: New Jersey District 01
STATE_FIPS_CD_CONG_DIST_NUM: 3401
REPRESENTATIVE_NM: Donald Norcross
REPRESENTATIVE_URL: https://norcross.house.gov
BPHC_SITE_NUM: BPS-H80-017765
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: D0B6F33E-2EF4-40D2-BD86-C159BD0EA160
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 2
STATE_ID: 31
COUNTY_ID: 1783
CONG_DIST_ID: 9147
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: 34015
CMN_COUNTY_NM_STATE_ABBR: Gloucester County, NJ
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 3401
CMN_CONG_DIST_NM: New Jersey District 01
CMN_ZIP_CD: 08071
CMN_CITY_NUM: Pitman, NJ
LOC_NAME: 02-ESRI
SCORE: 95
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: -75.11360669599998
Y: 39.739033979000055


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