OBJECTID: 2411
HCC_FCT_ID: 8072
SITE_SOURCE_ID: 3703E9A4-3F97-48FB-B317-6BF5A72DE967
SITE_NM: Southside East Lake Clinic
UDS_NUM:
SITE_PHONE_NUM: 612-827-7181
SITE_URL:
TOT_OPER_HR_PER_WEEK: 50
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: D4BB1D77-2950-41AF-9C8E-F1001522F92C
GRANT_NUM: H80CS00198
GRANTEE_NM: SOUTHSIDE COMMUNITY HEALTH SERVICES INC
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: 13986
SITE_ADDRESS_SOURCE_ID: B05FC8AD-3A2A-4F17-98CD-BB51EB220D10
SITE_ESR_SOURCE_ID: 89C298D8-075E-4151-BB94-D796943D35FE
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1000 E Lake St
SITE_CITY: Minneapolis
SITE_STATE_ABBR: MN
SITE_ZIP_CD: 55407-1617
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: 3
HCC_TYP_DESC: Administrative/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: 053
COUNTY_NM: Hennepin
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Hennepin County
STATE_COUNTY_FIPS_CD: 27053
STATE_FIPS_CD: 27
STATE_NM: Minnesota
US_SENATE_NM1: Amy Klobuchar
US_SENATE_NM2: Tina Smith
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 05
CONG_DIST_NM: Minnesota District 05
STATE_FIPS_CD_CONG_DIST_NUM: 2705
REPRESENTATIVE_NM: Ilhan Omar
REPRESENTATIVE_URL: https://omar.house.gov/
BPHC_SITE_NUM: BPS-H80-041394
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: CDB2959A-FE50-4443-83C7-F4C956C5D564
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 24
COUNTY_ID: 1341
CONG_DIST_ID: 9122
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Minnesota
CMN_STATE_ABBR: MN
CMN_STATE_FIPS_CD: 27
CMN_STATE_COUNTY_FIPS_CD: 27053
CMN_COUNTY_NM_STATE_ABBR: Hennepin County, MN
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 2705
CMN_CONG_DIST_NM: Minnesota District 05
CMN_ZIP_CD: 55407
CMN_CITY_NUM: Minneapolis, MN
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: -93.25949076199998
Y: 44.948631653000064


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