OBJECTID: 3271
HCC_FCT_ID: 12746
SITE_SOURCE_ID: CE4A845B-A6A4-496D-9869-AC44669E624B
SITE_NM: Kiamichi Family Medical Center, Inc. - Broken Bow
UDS_NUM:
SITE_PHONE_NUM: 580-286-6688
SITE_URL: www.kiamichimed.org
TOT_OPER_HR_PER_WEEK: 47
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 2174F268-9744-4B2C-AB9F-2DDBEBE114D0
GRANT_NUM: H80CS00267
GRANTEE_NM: KIAMICHI FAMILY MEDICAL CENTER 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: 7509
SITE_ADDRESS_SOURCE_ID: C2F2F418-82A6-417A-8C4F-645FF8D8763C
SITE_ESR_SOURCE_ID: 2AECE867-750A-4EA5-9E00-8240E35E0B60
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 510 S Park Dr
SITE_CITY: Broken Bow
SITE_STATE_ABBR: OK
SITE_ZIP_CD: 74728-5330
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: 089
COUNTY_NM: McCurtain
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: McCurtain County
STATE_COUNTY_FIPS_CD: 40089
STATE_FIPS_CD: 40
STATE_NM: Oklahoma
US_SENATE_NM1: James Lankford
US_SENATE_NM2: Alan Armstrong
REGION_CD: 06
REGION_NM: Region 6
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: Oklahoma District 02
STATE_FIPS_CD_CONG_DIST_NUM: 4002
REPRESENTATIVE_NM: Josh Brecheen
REPRESENTATIVE_URL: https://brecheen.house.gov
BPHC_SITE_NUM: BPS-H80-022022
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: Y
GRANT_SOURCE_ID: EE155AE3-2663-4AC8-BCC1-1712F09A3FDB
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 6
STATE_ID: 37
COUNTY_ID: 2177
CONG_DIST_ID: 9218
CMN_REGION_CD: 06
CMN_REGION_NM: Region 6
CMN_STATE_NM: Oklahoma
CMN_STATE_ABBR: OK
CMN_STATE_FIPS_CD: 40
CMN_STATE_COUNTY_FIPS_CD: 40089
CMN_COUNTY_NM_STATE_ABBR: McCurtain County, OK
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 4002
CMN_CONG_DIST_NM: Oklahoma District 02
CMN_ZIP_CD: 74728
CMN_CITY_NUM: Broken Bow, OK
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: -94.73990761399995
Y: 34.02194956500006


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