| SHAPE |
Point |
| HCC_FCT_ID |
19257 |
| SITE_SOURCE_ID |
A909CEB3-9545-489B-A364-FC25311399BF |
| SITE_NM |
PCC South Family Health Center |
| UDS_NUM |
|
| SITE_PHONE_NUM |
708-386-0845 |
| SITE_URL |
www.pccwellness.org |
| TOT_OPER_HR_PER_WEEK |
61 |
| 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 |
2942 |
| SITE_ADDRESS_SOURCE_ID |
6BCD204E-B48F-4981-B8C7-24EFDAA30C14 |
| SITE_ESR_SOURCE_ID |
4BB98BE7-CF36-4379-B81D-61BDE28F8608 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
6201 Roosevelt Rd |
| SITE_CITY |
Berwyn |
| SITE_STATE_ABBR |
IL |
| SITE_ZIP_CD |
60402-1108 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| 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 |
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 |
04 |
| CONG_DIST_NM |
Illinois District 04 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1704 |
| REPRESENTATIVE_NM |
Jesus G. “Chuy” Garcia |
| REPRESENTATIVE_URL |
https://chuygarcia.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-009251 |
| 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 |
9043 |
| 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 |
1704 |
| CMN_CONG_DIST_NM |
Illinois District 04 |
| CMN_ZIP_CD |
60402 |
| CMN_CITY_NUM |
Berwyn, 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_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. |