| SHAPE |
Point |
| HCC_FCT_ID |
4740 |
| SITE_SOURCE_ID |
490BD2BD-A99C-4D3A-A309-3FAE13CCBD66 |
| SITE_NM |
State Line Health Center |
| UDS_NUM |
|
| SITE_PHONE_NUM |
601-848-7912 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
42.5 |
| 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 |
2568 |
| SITE_ADDRESS_SOURCE_ID |
0F68EB3C-13A8-45E3-BB35-215A5B79FFCE |
| SITE_ESR_SOURCE_ID |
1DC50AEC-DB1B-40E0-9F0E-C3452592711B |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
256 Main St |
| SITE_CITY |
State Line |
| SITE_STATE_ABBR |
MS |
| SITE_ZIP_CD |
39362-9499 |
| 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 |
153 |
| COUNTY_NM |
Wayne |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Wayne County |
| STATE_COUNTY_FIPS_CD |
28153 |
| 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-H80-020826 |
| 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 |
1478 |
| 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 |
28153 |
| CMN_COUNTY_NM_STATE_ABBR |
Wayne County, MS |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2804 |
| CMN_CONG_DIST_NM |
Mississippi District 04 |
| CMN_ZIP_CD |
39362 |
| CMN_CITY_NUM |
State Line, MS |
| LOC_NAME |
02-ESRI |
| SCORE |
99 |
| 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. |