OBJECTID: 2188
HCC_FCT_ID: 2532
SITE_SOURCE_ID: 256DB563-D3AB-4CB1-9D9F-21DDB345257B
SITE_NM: Port Charlotte Pediatric & Dental Office
UDS_NUM:
SITE_PHONE_NUM: 239-344-2306
SITE_URL: www.fhcswf.org
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: 12714
SITE_ADDRESS_SOURCE_ID: 92D27795-0721-4BA1-88AA-A7D41A8032EF
SITE_ESR_SOURCE_ID: 953FAE7F-C5E8-48B6-B7A6-234E6C60DC80
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 4300 Kings Hwy, Suite 500
SITE_CITY: Punta Gorda
SITE_STATE_ABBR: FL
SITE_ZIP_CD: 33980-2953
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-H80-012532
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_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.
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.
Point:
X: -82.06914098999994
Y: 26.962633010000047


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