| SHAPE |
Point |
| 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_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. |
| 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. |