| SHAPE |
Point |
| HCC_FCT_ID |
3643 |
| SITE_SOURCE_ID |
EC72BCB8-C0B7-4650-A83E-2FA3A5BB50ED |
| SITE_NM |
CHC/SEIA WEST BURLINGTON CLINIC |
| UDS_NUM |
07731M |
| SITE_PHONE_NUM |
319-768-5858 |
| SITE_URL |
www.chcseia.com |
| TOT_OPER_HR_PER_WEEK |
57 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
38C351CC-2B14-42B9-AF4D-D5B6B6E21134 |
| GRANT_NUM |
H80CS00272 |
| GRANTEE_NM |
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA 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 |
18476 |
| SITE_ADDRESS_SOURCE_ID |
83F8D467-237D-42A0-AA70-F14B5001FA95 |
| SITE_ESR_SOURCE_ID |
122F71EB-AA8D-43D5-82A9-AA243B061076 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1706 W Agency Rd |
| SITE_CITY |
West Burlington |
| SITE_STATE_ABBR |
IA |
| SITE_ZIP_CD |
52655-1667 |
| 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 |
2 |
| HCC_TYP_DESC |
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 |
057 |
| COUNTY_NM |
Des Moines |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Des Moines County |
| STATE_COUNTY_FIPS_CD |
19057 |
| STATE_FIPS_CD |
19 |
| STATE_NM |
Iowa |
| US_SENATE_NM1 |
Chuck Grassley |
| US_SENATE_NM2 |
Joni Ernst |
| REGION_CD |
07 |
| REGION_NM |
Region 7 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
01 |
| CONG_DIST_NM |
Iowa District 01 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1901 |
| REPRESENTATIVE_NM |
Mariannette Miller-Meeks |
| REPRESENTATIVE_URL |
https://millermeeks.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-001096 |
| 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 |
3C0D0C2D-BFA7-4DB6-BB1D-5299530844C0 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
7 |
| STATE_ID |
16 |
| COUNTY_ID |
818 |
| CONG_DIST_ID |
9066 |
| CMN_REGION_CD |
07 |
| CMN_REGION_NM |
Region 7 |
| CMN_STATE_NM |
Iowa |
| CMN_STATE_ABBR |
IA |
| CMN_STATE_FIPS_CD |
19 |
| CMN_STATE_COUNTY_FIPS_CD |
19057 |
| CMN_COUNTY_NM_STATE_ABBR |
Des Moines County, IA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1901 |
| CMN_CONG_DIST_NM |
Iowa District 01 |
| CMN_ZIP_CD |
52655 |
| CMN_CITY_NUM |
West Burlington, IA |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL, and Service Objects |
| 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. |