OBJECTID: 3360
HCC_FCT_ID: 5006
SITE_SOURCE_ID: 3C35E409-79A3-4E66-91F1-432088F3295B
SITE_NM: WEST SUBURBAN MEDICAL CENTER
UDS_NUM: 05744E
SITE_PHONE_NUM: 708-383-0113
SITE_URL: http://westsuburbanmedicalcenter.reshealth.org/sub_wsmc/default.cfm
TOT_OPER_HR_PER_WEEK: 168
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 15E7DEB9-D868-44FF-B063-549833EC997E
GRANT_NUM: H80CS00276
GRANTEE_NM: PCC COMMUNITY WELLNESS CENTER
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: 18755
SITE_ADDRESS_SOURCE_ID: A22D2E05-CB92-4E39-B075-FC0DE584048B
SITE_ESR_SOURCE_ID: 620DF444-03B1-4C69-82E8-EF64E79F8CD8
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 3 Erie Ct
SITE_CITY: Oak Park
SITE_STATE_ABBR: IL
SITE_ZIP_CD: 60302-2599
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Urban
HCC_LOC_SETTING_ID: 1
HCC_LOC_SETTING_DESC: Hospital
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: 031
COUNTY_NM: Cook
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Cook County
STATE_COUNTY_FIPS_CD: 17031
STATE_FIPS_CD: 17
STATE_NM: Illinois
US_SENATE_NM1: Richard J. Durbin
US_SENATE_NM2: Tammy Duckworth
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 07
CONG_DIST_NM: Illinois District 07
STATE_FIPS_CD_CONG_DIST_NUM: 1707
REPRESENTATIVE_NM: Danny K. Davis
REPRESENTATIVE_URL: https://davis.house.gov
BPHC_SITE_NUM: BPS-H80-001512
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: 2072B603-30C7-4F6F-B6D5-1F1E24B44F1F
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 14
COUNTY_ID: 611
CONG_DIST_ID: 9046
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Illinois
CMN_STATE_ABBR: IL
CMN_STATE_FIPS_CD: 17
CMN_STATE_COUNTY_FIPS_CD: 17031
CMN_COUNTY_NM_STATE_ABBR: Cook County, IL
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1707
CMN_CONG_DIST_NM: Illinois District 07
CMN_ZIP_CD: 60302
CMN_CITY_NUM: Oak Park, IL
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: -87.77630166499995
Y: 41.891592099000036


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