| SHAPE |
Point |
| HCC_FCT_ID |
2199 |
| SITE_SOURCE_ID |
C902F85B-E4BC-4697-8926-1E09519E9463 |
| SITE_NM |
Prineville Health Center |
| UDS_NUM |
105600 |
| SITE_PHONE_NUM |
541-383-3005 |
| SITE_URL |
www.mosaicmedical.org |
| TOT_OPER_HR_PER_WEEK |
53 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
C807922E-FEFB-48F1-BC37-9B90BF51E9DB |
| GRANT_NUM |
H80CS00270 |
| GRANTEE_NM |
MOSAIC COMMUNITY HEALTH |
| 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 |
1941 |
| SITE_ADDRESS_SOURCE_ID |
BDC0213A-0371-4A30-BCBB-19656E5DEF08 |
| SITE_ESR_SOURCE_ID |
982B64AC-5D30-4C49-BCB7-6166D17B01D8 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
375 NW Beaver St, Suite 101 |
| SITE_CITY |
Prineville |
| SITE_STATE_ABBR |
OR |
| SITE_ZIP_CD |
97754-1802 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Rural |
| 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 |
1 |
| HCC_OPER_SCHD_DESC |
Full-Time |
| HCC_CLND_SCHD_ID |
1 |
| HCC_CLND_SCHD_DIM_DESC |
Year-Round |
| COUNTY_FIPS_CD |
013 |
| COUNTY_NM |
Crook |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Crook County |
| STATE_COUNTY_FIPS_CD |
41013 |
| STATE_FIPS_CD |
41 |
| STATE_NM |
Oregon |
| US_SENATE_NM1 |
Ron Wyden |
| US_SENATE_NM2 |
Jeff Merkley |
| REGION_CD |
10 |
| REGION_NM |
Region 10 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
Oregon District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4102 |
| REPRESENTATIVE_NM |
Cliff Bentz |
| REPRESENTATIVE_URL |
https://bentz.house.gov |
| BPHC_SITE_NUM |
BPS-H80-000707 |
| 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 |
B88952AC-AEAE-449C-8140-BC1BD2B859B7 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
10 |
| STATE_ID |
38 |
| COUNTY_ID |
2216 |
| CONG_DIST_ID |
9223 |
| CMN_REGION_CD |
10 |
| CMN_REGION_NM |
Region 10 |
| CMN_STATE_NM |
Oregon |
| CMN_STATE_ABBR |
OR |
| CMN_STATE_FIPS_CD |
41 |
| CMN_STATE_COUNTY_FIPS_CD |
41013 |
| CMN_COUNTY_NM_STATE_ABBR |
Crook County, OR |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4102 |
| CMN_CONG_DIST_NM |
Oregon District 02 |
| CMN_ZIP_CD |
97754 |
| CMN_CITY_NUM |
Prineville, OR |
| 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. |