OBJECTID: 4052
HCC_FCT_ID: 9911
SITE_SOURCE_ID: 1B91E8EF-0EA5-4D11-877D-8555E9E80783
SITE_NM: Charles Evans Center, Inc - Hauppauge
UDS_NUM:
SITE_PHONE_NUM: 516-622-8888
SITE_URL:
TOT_OPER_HR_PER_WEEK: 40
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: A32CD8C7-5F2D-46AE-9440-2050CB0250AF
GRANT_NUM: H80CS00313
GRANTEE_NM: SUN RIVER HEALTH, INC.
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: Y
CH_SUB_PROG_IND: Y
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: Y
HCH_SUB_PROG_IND: Y
SITE_ADDRESS_ID: 6093
SITE_ADDRESS_SOURCE_ID: 87FB3619-0150-4693-B854-516F0C42C0BE
SITE_ESR_SOURCE_ID: 37F71069-8D65-4A72-A5F8-1D24D879F6ED
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 305 Oser Ave
SITE_CITY: Hauppauge
SITE_STATE_ABBR: NY
SITE_ZIP_CD: 11788-3607
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: 2
HCC_OPER_DESC: Subrecipient
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 103
COUNTY_NM: Suffolk
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Suffolk County
STATE_COUNTY_FIPS_CD: 36103
STATE_FIPS_CD: 36
STATE_NM: New York
US_SENATE_NM1: Charles E. Schumer
US_SENATE_NM2: Kirsten E. Gillibrand
REGION_CD: 02
REGION_NM: Region 2
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: New York District 01
STATE_FIPS_CD_CONG_DIST_NUM: 3601
REPRESENTATIVE_NM: Nick LaLota
REPRESENTATIVE_URL: https://lalota.house.gov
BPHC_SITE_NUM: BPS-H80-019443
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: 336AC16B-676E-4795-B52F-833DF98F47F7
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 2
STATE_ID: 33
COUNTY_ID: 1881
CONG_DIST_ID: 9162
CMN_REGION_CD: 02
CMN_REGION_NM: Region 2
CMN_STATE_NM: New York
CMN_STATE_ABBR: NY
CMN_STATE_FIPS_CD: 36
CMN_STATE_COUNTY_FIPS_CD: 36103
CMN_COUNTY_NM_STATE_ABBR: Suffolk County, NY
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 3601
CMN_CONG_DIST_NM: New York District 01
CMN_ZIP_CD: 11788
CMN_CITY_NUM: Hauppauge, NY
LOC_NAME: 01-ESRI
SCORE: 96
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: -73.25971238899996
Y: 40.816557948000025


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