| SHAPE |
Point |
| HCC_FCT_ID |
15091 |
| SITE_SOURCE_ID |
D1CFB08D-67DF-40BB-BFD3-C866BD64C090 |
| SITE_NM |
Mosaic Health Ilion |
| UDS_NUM |
|
| SITE_PHONE_NUM |
315-793-7600 x7503 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
50 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
18A07221-F201-462C-A84C-2E0E6B03D935 |
| GRANT_NUM |
H80CS00167 |
| GRANTEE_NM |
Mosaic Health, 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 |
12235 |
| SITE_ADDRESS_SOURCE_ID |
0F35E095-2BDF-4226-8BBF-A1A2EAAAD331 |
| SITE_ESR_SOURCE_ID |
AC6EA75A-0A12-46BA-BB76-69663E62AC2F |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
55 Central Plz STE B |
| SITE_CITY |
Ilion |
| SITE_STATE_ABBR |
NY |
| SITE_ZIP_CD |
13357-1753 |
| 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 |
043 |
| COUNTY_NM |
Herkimer |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Herkimer County |
| STATE_COUNTY_FIPS_CD |
36043 |
| 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-H80-017630 |
| 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 |
95449DCF-5611-4F4C-8000-26F6BE3F09DC |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
2 |
| STATE_ID |
33 |
| COUNTY_ID |
1851 |
| 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 |
36043 |
| CMN_COUNTY_NM_STATE_ABBR |
Herkimer County, NY |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3621 |
| CMN_CONG_DIST_NM |
New York District 21 |
| CMN_ZIP_CD |
13357 |
| CMN_CITY_NUM |
Ilion, NY |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
98 |
| 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. |