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