| SHAPE |
Point |
| HCC_FCT_ID |
13046 |
| SITE_SOURCE_ID |
5CDE5BBB-4483-4CA9-9A5C-B04414F826C6 |
| SITE_NM |
NEWCC Door County Dental |
| UDS_NUM |
|
| SITE_PHONE_NUM |
920-746-3788 |
| SITE_URL |
www.newcc.health |
| TOT_OPER_HR_PER_WEEK |
40 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
8DB6791D-9B91-4891-A477-C40ADC59A367 |
| GRANT_NUM |
H80CS00035 |
| GRANTEE_NM |
N.E.W. COMMUNITY CLINIC, LTD. |
| 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 |
786 |
| SITE_ADDRESS_SOURCE_ID |
08FDF680-CCA3-49C7-994C-0A44E80F26D8 |
| SITE_ESR_SOURCE_ID |
D2AFE891-D03E-4F1C-B6F6-A9F26F588B03 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
228 S 18th Ave |
| SITE_CITY |
Sturgeon Bay |
| SITE_STATE_ABBR |
WI |
| SITE_ZIP_CD |
54235-1000 |
| 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 |
029 |
| COUNTY_NM |
Door |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Door County |
| STATE_COUNTY_FIPS_CD |
55029 |
| 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 |
08 |
| CONG_DIST_NM |
Wisconsin District 08 |
| STATE_FIPS_CD_CONG_DIST_NUM |
5508 |
| REPRESENTATIVE_NM |
Tony Wied |
| REPRESENTATIVE_URL |
https://wied.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-039489 |
| 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 |
5FB9F948-EC51-48EA-94AE-600231099EDF |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
5 |
| STATE_ID |
50 |
| COUNTY_ID |
3066 |
| CONG_DIST_ID |
9334 |
| 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 |
55029 |
| CMN_COUNTY_NM_STATE_ABBR |
Door County, WI |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5508 |
| CMN_CONG_DIST_NM |
Wisconsin District 08 |
| CMN_ZIP_CD |
54235 |
| CMN_CITY_NUM |
Sturgeon Bay, WI |
| LOC_NAME |
01-ESRI |
| SCORE |
99 |
| 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. |