| SHAPE |
Point |
| HCC_FCT_ID |
3989 |
| SITE_SOURCE_ID |
CEA251A4-EAF5-4CBC-88BF-340DD7493E12 |
| SITE_NM |
Port Charlotte Family Practice Medical Office |
| UDS_NUM |
|
| SITE_PHONE_NUM |
866-355-2348 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
45 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
880C38BB-8A6F-442A-A24E-6AA797B57A3A |
| GRANT_NUM |
H80CS00185 |
| GRANTEE_NM |
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, 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 |
732 |
| SITE_ADDRESS_SOURCE_ID |
F21A9984-C3F5-4C1E-97A7-0930F14C8936 |
| SITE_ESR_SOURCE_ID |
480A2421-1D07-454D-AAE2-9B5ED3D23226 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
4300 Kings Hwy, Suite 210 |
| SITE_CITY |
Punta Gorda |
| SITE_STATE_ABBR |
FL |
| SITE_ZIP_CD |
33980-2922 |
| 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 |
015 |
| COUNTY_NM |
Charlotte |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Charlotte County |
| STATE_COUNTY_FIPS_CD |
12015 |
| STATE_FIPS_CD |
12 |
| STATE_NM |
Florida |
| US_SENATE_NM1 |
Rick Scott |
| US_SENATE_NM2 |
Ashley Moody |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
17 |
| CONG_DIST_NM |
Florida District 17 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1217 |
| REPRESENTATIVE_NM |
W. Gregory Steube |
| REPRESENTATIVE_URL |
https://steube.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-014032 |
| 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 |
636136B8-1069-4761-B302-8F0BDC2D9864 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
10 |
| COUNTY_ID |
328 |
| CONG_DIST_ID |
9011 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
Florida |
| CMN_STATE_ABBR |
FL |
| CMN_STATE_FIPS_CD |
12 |
| CMN_STATE_COUNTY_FIPS_CD |
12015 |
| CMN_COUNTY_NM_STATE_ABBR |
Charlotte County, FL |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1217 |
| CMN_CONG_DIST_NM |
Florida District 17 |
| CMN_ZIP_CD |
33980 |
| CMN_CITY_NUM |
Punta Gorda, FL |
| 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. |