| SHAPE |
Point |
| 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_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. |