| SHAPE |
Point |
| HCC_FCT_ID |
9694 |
| SITE_SOURCE_ID |
BD08C734-9386-4C70-8783-8286AE98F310 |
| SITE_NM |
FASSETT-MAGEE HEALTH CENTER/Cambridge Dental Center |
| UDS_NUM |
03275D |
| SITE_PHONE_NUM |
410-228-4045 |
| SITE_URL |
www.choptankhealth.org |
| TOT_OPER_HR_PER_WEEK |
40 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
31F70835-4884-4F2A-A47E-4AC042513D25 |
| GRANT_NUM |
H80CS00176 |
| GRANTEE_NM |
CHOPTANK COMMUNITY HEALTH SYSTEM, 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 |
16984 |
| SITE_ADDRESS_SOURCE_ID |
01F3B464-BF50-4657-9F69-E449A3B78CCE |
| SITE_ESR_SOURCE_ID |
B5EF194C-F842-4E37-B657-08D5DE1B6A19 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
503 Muir St, Ste A |
| SITE_CITY |
Cambridge |
| SITE_STATE_ABBR |
MD |
| SITE_ZIP_CD |
21613-1848 |
| 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 |
019 |
| COUNTY_NM |
Dorchester |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Dorchester County |
| STATE_COUNTY_FIPS_CD |
24019 |
| STATE_FIPS_CD |
24 |
| STATE_NM |
Maryland |
| US_SENATE_NM1 |
Chris Van Hollen |
| US_SENATE_NM2 |
Angela D. Alsobrooks |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
01 |
| CONG_DIST_NM |
Maryland District 01 |
| STATE_FIPS_CD_CONG_DIST_NUM |
2401 |
| REPRESENTATIVE_NM |
Andy Harris |
| REPRESENTATIVE_URL |
https://harris.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-002880 |
| 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 |
C2A3D863-C8E7-4B79-9BC3-BB31BB6FBB2D |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
21 |
| COUNTY_ID |
1202 |
| CONG_DIST_ID |
9088 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
Maryland |
| CMN_STATE_ABBR |
MD |
| CMN_STATE_FIPS_CD |
24 |
| CMN_STATE_COUNTY_FIPS_CD |
24019 |
| CMN_COUNTY_NM_STATE_ABBR |
Dorchester County, MD |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2401 |
| CMN_CONG_DIST_NM |
Maryland District 01 |
| CMN_ZIP_CD |
21613 |
| CMN_CITY_NUM |
Cambridge, MD |
| 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. |