OBJECTID: 2396
HCC_FCT_ID: 5097
SITE_SOURCE_ID: CA337221-2AAA-4535-ADDA-445B02CA522B
SITE_NM: Premier Care Pediatrics
UDS_NUM:
SITE_PHONE_NUM: 330-841-5500
SITE_URL: http://onehealthohio.org/
TOT_OPER_HR_PER_WEEK: 45
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 2315D87C-9DF3-49B9-8F0B-FCC4210F2BEF
GRANT_NUM: H80CS00196
GRANTEE_NM: OHIO NORTH EAST HEALTH SYSTEMS, 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: N
SITE_ADDRESS_ID: 9159
SITE_ADDRESS_SOURCE_ID: 6B206E90-A0B1-43FE-B329-7A8C45BBA1CF
SITE_ESR_SOURCE_ID: B2181838-9803-45B4-91B8-BDAAED86094B
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 2642 State Route 5
SITE_CITY: Cortland
SITE_STATE_ABBR: OH
SITE_ZIP_CD: 44410-9393
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: 155
COUNTY_NM: Trumbull
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Trumbull County
STATE_COUNTY_FIPS_CD: 39155
STATE_FIPS_CD: 39
STATE_NM: Ohio
US_SENATE_NM1: Bernie Moreno
US_SENATE_NM2: Jon Husted
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 14
CONG_DIST_NM: Ohio District 14
STATE_FIPS_CD_CONG_DIST_NUM: 3914
REPRESENTATIVE_NM: David P. Joyce
REPRESENTATIVE_URL: https://joyce.house.gov
BPHC_SITE_NUM: BPS-H80-027149
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: 335D825D-8AF5-4035-AE9C-8DE76B81D226
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 36
COUNTY_ID: 2122
CONG_DIST_ID: 9215
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Ohio
CMN_STATE_ABBR: OH
CMN_STATE_FIPS_CD: 39
CMN_STATE_COUNTY_FIPS_CD: 39155
CMN_COUNTY_NM_STATE_ABBR: Trumbull County, OH
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 3914
CMN_CONG_DIST_NM: Ohio District 14
CMN_ZIP_CD: 44410
CMN_CITY_NUM: Cortland, OH
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: -80.76277402299996
Y: 41.288495013000045


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