OBJECTID: 3076
HCC_FCT_ID: 7590
SITE_SOURCE_ID: 54ACF3F8-F614-4374-8FE7-655B364CF2E5
SITE_NM: Gravenstein South
UDS_NUM:
SITE_PHONE_NUM: 707-869-5977
SITE_URL:
TOT_OPER_HR_PER_WEEK: 40
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 450A446F-60BA-4221-BED9-8FE3A1A090E7
GRANT_NUM: H80CS00242
GRANTEE_NM: WEST COUNTY HEALTH CENTERS, 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: 16378
SITE_ADDRESS_SOURCE_ID: 93605F93-060F-46D0-B6E4-DB9041DFE2D7
SITE_ESR_SOURCE_ID: A27582D7-0BC2-4D88-8765-0A9453269FCE
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 652 Petaluma Ave, Suite C
SITE_CITY: Sebastopol
SITE_STATE_ABBR: CA
SITE_ZIP_CD: 95472-4266
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: 097
COUNTY_NM: Sonoma
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Sonoma County
STATE_COUNTY_FIPS_CD: 06097
STATE_FIPS_CD: 06
STATE_NM: California
US_SENATE_NM1: Alex Padilla
US_SENATE_NM2: Adam B. Schiff
REGION_CD: 09
REGION_NM: Region 9
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: California District 02
STATE_FIPS_CD_CONG_DIST_NUM: 0602
REPRESENTATIVE_NM: Jared Huffman
REPRESENTATIVE_URL: https://huffman.house.gov
BPHC_SITE_NUM: BPS-H80-035199
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: FD635F1B-F293-4718-B9B5-886B17CFF748
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 9
STATE_ID: 5
COUNTY_ID: 236
CONG_DIST_ID: 8930
CMN_REGION_CD: 09
CMN_REGION_NM: Region 9
CMN_STATE_NM: California
CMN_STATE_ABBR: CA
CMN_STATE_FIPS_CD: 06
CMN_STATE_COUNTY_FIPS_CD: 06097
CMN_COUNTY_NM_STATE_ABBR: Sonoma County, CA
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 0602
CMN_CONG_DIST_NM: California District 02
CMN_ZIP_CD: 95472
CMN_CITY_NUM: Sebastopol, CA
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: -122.82039309999999
Y: 38.396524260000035


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