| SHAPE |
Point |
| HCC_FCT_ID |
10307 |
| SITE_SOURCE_ID |
DDF1CCE8-E7EF-44F2-81E7-8A7233CBC530 |
| SITE_NM |
GOSHEN MEDICAL CENTER - MOBILE MEDICAL |
| UDS_NUM |
|
| SITE_PHONE_NUM |
910-267-1942 |
| SITE_URL |
www.goshenmedical.org |
| TOT_OPER_HR_PER_WEEK |
20 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
6A0591DF-8268-44DE-96DE-E150715EE389 |
| GRANT_NUM |
H80CS00181 |
| GRANTEE_NM |
GOSHEN MEDICAL CENTER, 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 |
7712 |
| SITE_ADDRESS_SOURCE_ID |
91A7F8DD-F320-43F9-AC78-66E3A35E97F9 |
| SITE_ESR_SOURCE_ID |
9B055396-69C9-4BC7-800B-74CE2B3BE3BF |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
444 SW Center St |
| SITE_CITY |
Faison |
| SITE_STATE_ABBR |
NC |
| SITE_ZIP_CD |
28341-8820 |
| 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 |
061 |
| COUNTY_NM |
Duplin |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Duplin County |
| STATE_COUNTY_FIPS_CD |
37061 |
| STATE_FIPS_CD |
37 |
| STATE_NM |
North Carolina |
| US_SENATE_NM1 |
Thom Tillis |
| US_SENATE_NM2 |
Ted Budd |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
03 |
| CONG_DIST_NM |
North Carolina District 03 |
| STATE_FIPS_CD_CONG_DIST_NUM |
3703 |
| REPRESENTATIVE_NM |
Gregory F. Murphy |
| REPRESENTATIVE_URL |
https://murphy.house.gov |
| BPHC_SITE_NUM |
BPS-H80-021015 |
| 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 |
9DBBC6A0-D80F-4F22-8A32-ECFCB7A29A0D |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
34 |
| COUNTY_ID |
1922 |
| CONG_DIST_ID |
9190 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
North Carolina |
| CMN_STATE_ABBR |
NC |
| CMN_STATE_FIPS_CD |
37 |
| CMN_STATE_COUNTY_FIPS_CD |
37061 |
| CMN_COUNTY_NM_STATE_ABBR |
Duplin County, NC |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3703 |
| CMN_CONG_DIST_NM |
North Carolina District 03 |
| CMN_ZIP_CD |
28341 |
| CMN_CITY_NUM |
Faison, NC |
| 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 |
No |
| 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 at one or more sites. Please call the center for more information. |