OBJECTID: 2339
HCC_FCT_ID: 18912
SITE_SOURCE_ID: CCCC7B17-3DD5-426D-AB96-FF3CC94EE88B
SITE_NM: Komed Holman Health Center
UDS_NUM: 05328B
SITE_PHONE_NUM: 773-268-7600
SITE_URL: www.nearnorthhealth.org
TOT_OPER_HR_PER_WEEK: 44
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 7E667654-B758-420E-BF33-0D3C9955B2AA
GRANT_NUM: H80CS00194
GRANTEE_NM: THE NEAR NORTH HEALTH SERVICE CORPORATION
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: 5880
SITE_ADDRESS_SOURCE_ID: 4335239C-3986-4F76-A1DC-4E95E1F4D49B
SITE_ESR_SOURCE_ID: 43A2056A-4022-4DF8-A8A4-353B111D18B6
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 4259 S Berkeley Ave
SITE_CITY: Chicago
SITE_STATE_ABBR: IL
SITE_ZIP_CD: 60653-3030
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: 031
COUNTY_NM: Cook
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Cook County
STATE_COUNTY_FIPS_CD: 17031
STATE_FIPS_CD: 17
STATE_NM: Illinois
US_SENATE_NM1: Richard J. Durbin
US_SENATE_NM2: Tammy Duckworth
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: Illinois District 01
STATE_FIPS_CD_CONG_DIST_NUM: 1701
REPRESENTATIVE_NM: Jonathan L. Jackson
REPRESENTATIVE_URL: https://jonathanjackson.house.gov
BPHC_SITE_NUM: BPS-H80-005641
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: 0A60A857-FEF9-43DD-A829-392C4885583E
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 14
COUNTY_ID: 611
CONG_DIST_ID: 9040
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Illinois
CMN_STATE_ABBR: IL
CMN_STATE_FIPS_CD: 17
CMN_STATE_COUNTY_FIPS_CD: 17031
CMN_COUNTY_NM_STATE_ABBR: Cook County, IL
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1701
CMN_CONG_DIST_NM: Illinois District 01
CMN_ZIP_CD: 60653
CMN_CITY_NUM: Chicago, IL
LOC_NAME: 01-ESRI,SO
SCORE: 100
APPROX_VALUE_CD: N
LOC_NAME_DESC: Data was matched at the Address level using AGOL, and Service Objects
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: -87.59996201299998
Y: 41.817218006000076


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