| SHAPE |
Point |
| 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_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. |