| SHAPE |
Point |
| HCC_FCT_ID |
11694 |
| SITE_SOURCE_ID |
410F747A-3BF5-4C05-937C-9DB278D66C33 |
| SITE_NM |
Children's Dental Center of Madison-East Madison |
| UDS_NUM |
|
| SITE_PHONE_NUM |
608-825-7500 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
43.5 |
| 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 |
17783 |
| SITE_ADDRESS_SOURCE_ID |
C7A429EA-6A6E-4281-9CA9-EEF361E1ED6D |
| SITE_ESR_SOURCE_ID |
8CA1ABF1-BB04-4E78-962C-DDC0C7ACCEE7 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
5116 American Family Dr |
| SITE_CITY |
Madison |
| SITE_STATE_ABBR |
WI |
| SITE_ZIP_CD |
53718-8331 |
| 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-H80-041468 |
| 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 |
53718 |
| 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_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. |