OBJECTID: 4215
HCC_FCT_ID: 265
SITE_SOURCE_ID: 657642BB-AF36-4882-893F-035823331356
SITE_NM: Perry A. Klaassen Family Medical Center
UDS_NUM:
SITE_PHONE_NUM: 405-419-9800
SITE_URL: www.communityhealthok.org
TOT_OPER_HR_PER_WEEK: 45
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 44295040-B01B-4DEA-B3AB-60C90E632CA9
GRANT_NUM: H80CS00320
GRANTEE_NM: COMMUNITY HEALTH CENTERS OF OKLAHOMA
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: N
CH_SUB_PROG_IND: Y
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: N
HCH_SUB_PROG_IND: Y
SITE_ADDRESS_ID: 11621
SITE_ADDRESS_SOURCE_ID: 21662D21-768E-4AF0-8219-9BC9323CD13B
SITE_ESR_SOURCE_ID: D880D25D-01AD-4B4E-B502-029DC54FDD92
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1006 NE 17th St
SITE_CITY: Oklahoma City
SITE_STATE_ABBR: OK
SITE_ZIP_CD: 73111-1002
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: 1
HCC_OPER_DESC: Health Center/Applicant
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 109
COUNTY_NM: Oklahoma
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Oklahoma County
STATE_COUNTY_FIPS_CD: 40109
STATE_FIPS_CD: 40
STATE_NM: Oklahoma
US_SENATE_NM1: James Lankford
US_SENATE_NM2: Alan Armstrong
REGION_CD: 06
REGION_NM: Region 6
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 05
CONG_DIST_NM: Oklahoma District 05
STATE_FIPS_CD_CONG_DIST_NUM: 4005
REPRESENTATIVE_NM: Stephanie I. Bice
REPRESENTATIVE_URL: https://bice.house.gov
BPHC_SITE_NUM: BPS-H80-034388
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: 113FB7D7-09F8-46E9-B1B2-13135B472284
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 6
STATE_ID: 37
COUNTY_ID: 2187
CONG_DIST_ID: 9221
CMN_REGION_CD: 06
CMN_REGION_NM: Region 6
CMN_STATE_NM: Oklahoma
CMN_STATE_ABBR: OK
CMN_STATE_FIPS_CD: 40
CMN_STATE_COUNTY_FIPS_CD: 40109
CMN_COUNTY_NM_STATE_ABBR: Oklahoma County, OK
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 4005
CMN_CONG_DIST_NM: Oklahoma District 05
CMN_ZIP_CD: 73111
CMN_CITY_NUM: Oklahoma City, OK
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 05/21/2021, 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 05/21/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -97.49409957699999
Y: 35.48666166400005


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