OBJECTID: 3403
HCC_FCT_ID: 11459
SITE_SOURCE_ID: 8B527127-53C9-4530-BB1F-983DB5B2C71C
SITE_NM: Children's Dental Center of Madison-West Madison
UDS_NUM:
SITE_PHONE_NUM: 608-833-6545
SITE_URL:
TOT_OPER_HR_PER_WEEK: 42
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: D548022E-7FD0-4A56-8BD4-153CBA576A65
GRANT_NUM: H80CS00280
GRANTEE_NM: Access Community Health Centers, 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: 3203
SITE_ADDRESS_SOURCE_ID: 98334E11-C3BD-4A26-B69D-2905F5C51E8B
SITE_ESR_SOURCE_ID: 69882B4F-5315-47D0-A748-FE9F02C06DB9
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 7001 Old Sauk Rd, Suite 200
SITE_CITY: Madison
SITE_STATE_ABBR: WI
SITE_ZIP_CD: 53717-2310
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: 3
HCC_OPER_DESC: Contractor
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 025
COUNTY_NM: Dane
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Dane County
STATE_COUNTY_FIPS_CD: 55025
STATE_FIPS_CD: 55
STATE_NM: Wisconsin
US_SENATE_NM1: Ron Johnson
US_SENATE_NM2: Tammy Baldwin
REGION_CD: 05
REGION_NM: Region 5
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: Wisconsin District 02
STATE_FIPS_CD_CONG_DIST_NUM: 5502
REPRESENTATIVE_NM: Mark Pocan
REPRESENTATIVE_URL: https://pocan.house.gov
BPHC_SITE_NUM: BPS-H80-041677
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: B798FA4E-D950-47CB-9566-687D2C3F8D16
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 5
STATE_ID: 50
COUNTY_ID: 3064
CONG_DIST_ID: 9328
CMN_REGION_CD: 05
CMN_REGION_NM: Region 5
CMN_STATE_NM: Wisconsin
CMN_STATE_ABBR: WI
CMN_STATE_FIPS_CD: 55
CMN_STATE_COUNTY_FIPS_CD: 55025
CMN_COUNTY_NM_STATE_ABBR: Dane County, WI
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 5502
CMN_CONG_DIST_NM: Wisconsin District 02
CMN_ZIP_CD: 53717
CMN_CITY_NUM: Madison, WI
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: -89.50318200999999
Y: 43.076128984000036


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