OBJECTID: 4233
HCC_FCT_ID: 6387
SITE_SOURCE_ID: 91E72FFC-CE97-401C-8999-560491B077CC
SITE_NM: HEALTH WEST - EVANSTON CHC
UDS_NUM:
SITE_PHONE_NUM: 307-789-8290
SITE_URL: www.healthwestinc.org
TOT_OPER_HR_PER_WEEK: 45
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: E46D6B8D-55DF-4AFA-930F-43CD30B5C08F
GRANT_NUM: H80CS00321
GRANTEE_NM: HEALTH WEST, 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: 7189
SITE_ADDRESS_SOURCE_ID: 457092B5-E43B-4092-AA04-6005E95AB504
SITE_ESR_SOURCE_ID: FAF046E6-D3F7-450B-A4C2-3304C47DE262
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 75 Yellow Creek Rd, Suite 102
SITE_CITY: Evanston
SITE_STATE_ABBR: WY
SITE_ZIP_CD: 82930-5205
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: 041
COUNTY_NM: Uinta
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Uinta County
STATE_COUNTY_FIPS_CD: 56041
STATE_FIPS_CD: 56
STATE_NM: Wyoming
US_SENATE_NM1: John Barrasso
US_SENATE_NM2: Cynthia M. Lummis
REGION_CD: 08
REGION_NM: Region 8
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 00
CONG_DIST_NM: Wyoming At Large
STATE_FIPS_CD_CONG_DIST_NUM: 5600
REPRESENTATIVE_NM: Harriet M. Hageman
REPRESENTATIVE_URL: https://hageman.house.gov
BPHC_SITE_NUM: BPS-H80-038300
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: Y
GRANT_SOURCE_ID: C36B4095-4914-4D48-8D06-446BDCCBA99E
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 8
STATE_ID: 51
COUNTY_ID: 3144
CONG_DIST_ID: 9335
CMN_REGION_CD: 08
CMN_REGION_NM: Region 8
CMN_STATE_NM: Wyoming
CMN_STATE_ABBR: WY
CMN_STATE_FIPS_CD: 56
CMN_STATE_COUNTY_FIPS_CD: 56041
CMN_COUNTY_NM_STATE_ABBR: Uinta County, WY
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 5600
CMN_CONG_DIST_NM: Wyoming At Large
CMN_ZIP_CD: 82930
CMN_CITY_NUM: Evanston, WY
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 05/28/2021, 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: -110.96783601299995
Y: 41.25491778000003


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