OBJECTID: 3795
HCC_FCT_ID: 18607
SITE_SOURCE_ID: 7D3A17F8-687F-4521-8EAC-FAE2FB56178B
SITE_NM: Clendenin Health Center
UDS_NUM:
SITE_PHONE_NUM: 304-548-7272
SITE_URL: www.cabincreekhealth.com
TOT_OPER_HR_PER_WEEK: 40
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 0129031B-1E0E-4BED-B1A4-2857E1E4BBBA
GRANT_NUM: H80CS00294
GRANTEE_NM: CABIN CREEK HEALTH SYSTEMS, 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: 10213
SITE_ADDRESS_SOURCE_ID: 7FE8D324-CB99-4A6D-8F2F-88D056537DFF
SITE_ESR_SOURCE_ID: B2588079-F3FF-4CB3-9DEA-E267882AF754
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 107 Koontz Ave STE 200
SITE_CITY: Clendenin
SITE_STATE_ABBR: WV
SITE_ZIP_CD: 25045-9581
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: 039
COUNTY_NM: Kanawha
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Kanawha County
STATE_COUNTY_FIPS_CD: 54039
STATE_FIPS_CD: 54
STATE_NM: West Virginia
US_SENATE_NM1: Shelley Moore Capito
US_SENATE_NM2: James C. Justice
REGION_CD: 03
REGION_NM: Region 3
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: West Virginia District 01
STATE_FIPS_CD_CONG_DIST_NUM: 5401
REPRESENTATIVE_NM: Carol D. Miller
REPRESENTATIVE_URL: https://miller.house.gov/
BPHC_SITE_NUM: BPS-H80-011055
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: 39F26E89-DCC3-4A7F-9891-54327CBD4AF7
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 3
STATE_ID: 49
COUNTY_ID: 3016
CONG_DIST_ID: 9325
CMN_REGION_CD: 03
CMN_REGION_NM: Region 3
CMN_STATE_NM: West Virginia
CMN_STATE_ABBR: WV
CMN_STATE_FIPS_CD: 54
CMN_STATE_COUNTY_FIPS_CD: 54039
CMN_COUNTY_NM_STATE_ABBR: Kanawha County, WV
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 5401
CMN_CONG_DIST_NM: West Virginia District 01
CMN_ZIP_CD: 25045
CMN_CITY_NUM: Clendenin, WV
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: Yes
HCP_COVID19_TELE_CAP_STATUS: Yes
HCP_COVID19_TELEHEALTH_CAP_TXT: As of 01/15/2021, 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 01/15/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -81.34627803299998
Y: 38.48950039500005


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