OBJECTID: 2201
HCC_FCT_ID: 13740
SITE_SOURCE_ID: FAF6AA64-D0CF-4E65-9CC9-B9723C81393D
SITE_NM: SBHC - LT Taylor Intermediate
UDS_NUM:
SITE_PHONE_NUM: 228-374-2494
SITE_URL:
TOT_OPER_HR_PER_WEEK: 4
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: BCA83222-AEA4-4D4C-9F43-0F9D5D15129A
GRANT_NUM: H80CS00188
GRANTEE_NM: COASTAL FAMILY HEALTH CENTER INC
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: 4924
SITE_ADDRESS_SOURCE_ID: 15601652-9007-4C7C-A1AC-415F1F5F25B1
SITE_ESR_SOURCE_ID: F74FEF82-F15A-4714-BABC-5EC68A6E657D
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 159 Maple St
SITE_CITY: Lucedale
SITE_STATE_ABBR: MS
SITE_ZIP_CD: 39452-6712
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Unknown
HCC_LOC_SETTING_ID: 2
HCC_LOC_SETTING_DESC: School
HCC_STATUS_ID: 1
HCC_STATUS_DESC: Active
HCC_LOC_ID: 2
HCC_LOC_DESC: Seasonal
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: 039
COUNTY_NM: George
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: George County
STATE_COUNTY_FIPS_CD: 28039
STATE_FIPS_CD: 28
STATE_NM: Mississippi
US_SENATE_NM1: Roger F. Wicker
US_SENATE_NM2: Cindy Hyde-Smith
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 04
CONG_DIST_NM: Mississippi District 04
STATE_FIPS_CD_CONG_DIST_NUM: 2804
REPRESENTATIVE_NM: Mike Ezell
REPRESENTATIVE_URL: https://ezell.house.gov
BPHC_SITE_NUM: BPS-H80-041484
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: A2F8F209-95DF-46AD-AC81-40041FFA9270
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 25
COUNTY_ID: 1421
CONG_DIST_ID: 9129
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Mississippi
CMN_STATE_ABBR: MS
CMN_STATE_FIPS_CD: 28
CMN_STATE_COUNTY_FIPS_CD: 28039
CMN_COUNTY_NM_STATE_ABBR: George County, MS
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 2804
CMN_CONG_DIST_NM: Mississippi District 04
CMN_ZIP_CD: 39452
CMN_CITY_NUM: Lucedale, MS
LOC_NAME: 02-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: -88.59512819599996
Y: 30.929351075000056


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