| SHAPE |
Point |
| HCC_FCT_ID |
12954 |
| SITE_SOURCE_ID |
C7845DEB-A64A-4C04-BA0A-AEF7FD559527 |
| SITE_NM |
South Side Medical Center |
| UDS_NUM |
|
| SITE_PHONE_NUM |
804-780-0840 |
| SITE_URL |
www.cahealthnet.org |
| TOT_OPER_HR_PER_WEEK |
45 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
1E48C8FF-D1EB-41D7-B7F6-117A203A1192 |
| GRANT_NUM |
H80CS00174 |
| GRANTEE_NM |
CAPITAL AREA HEALTH NETWORK |
| 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 |
18275 |
| SITE_ADDRESS_SOURCE_ID |
6F5B507F-D363-401A-89DD-F59A8F66987A |
| SITE_ESR_SOURCE_ID |
8730A53E-A1D1-4F36-A937-F63362858C88 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
101 Cowardin Ave, Suite 102 |
| SITE_CITY |
Richmond |
| SITE_STATE_ABBR |
VA |
| SITE_ZIP_CD |
23224-2078 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| 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 |
760 |
| COUNTY_NM |
Richmond City |
| COUNTY_DESC |
City |
| LIST_BOX_COUNTY_NM |
Richmond City |
| STATE_COUNTY_FIPS_CD |
51760 |
| STATE_FIPS_CD |
51 |
| STATE_NM |
Virginia |
| US_SENATE_NM1 |
Mark R. Warner |
| US_SENATE_NM2 |
Tim Kaine |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
04 |
| CONG_DIST_NM |
Virginia District 04 |
| STATE_FIPS_CD_CONG_DIST_NUM |
5104 |
| REPRESENTATIVE_NM |
Jennifer L. McClellan |
| REPRESENTATIVE_URL |
https://mcclellan.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-009324 |
| 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 |
7DE690CC-20D3-4C90-BB50-022CEBB4F003 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
47 |
| COUNTY_ID |
2948 |
| CONG_DIST_ID |
9307 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
Virginia |
| CMN_STATE_ABBR |
VA |
| CMN_STATE_FIPS_CD |
51 |
| CMN_STATE_COUNTY_FIPS_CD |
51760 |
| CMN_COUNTY_NM_STATE_ABBR |
Richmond City, VA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5104 |
| CMN_CONG_DIST_NM |
Virginia District 04 |
| CMN_ZIP_CD |
23224 |
| CMN_CITY_NUM |
Richmond, VA |
| 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 |
Yes |
| HCP_COVID19_TELE_CAP_STATUS |
Yes |
| HCP_COVID19_TEST_CAP |
As of 02/12/2021, 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 02/12/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |