| SHAPE |
Point |
| HCC_FCT_ID |
14350 |
| SITE_SOURCE_ID |
0E4E0C1A-89C1-45E3-9CBA-BBEB253DBE53 |
| SITE_NM |
HEALTH WEST - MONTPELIER CHC |
| UDS_NUM |
|
| SITE_PHONE_NUM |
208-847-2108 |
| 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 |
252 |
| SITE_ADDRESS_SOURCE_ID |
605200B2-361B-4C17-B300-0332F768AC6D |
| SITE_ESR_SOURCE_ID |
FD83B5AB-C5E4-45D1-B5ED-6BD03D4A371F |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
152 S 4th St |
| SITE_CITY |
Montpelier |
| SITE_STATE_ABBR |
ID |
| SITE_ZIP_CD |
83254-1538 |
| 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 |
007 |
| COUNTY_NM |
Bear Lake |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Bear Lake County |
| STATE_COUNTY_FIPS_CD |
16007 |
| STATE_FIPS_CD |
16 |
| STATE_NM |
Idaho |
| US_SENATE_NM1 |
Mike Crapo |
| US_SENATE_NM2 |
James E. Risch |
| REGION_CD |
10 |
| REGION_NM |
Region 10 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
Idaho District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1602 |
| REPRESENTATIVE_NM |
Michael K. Simpson |
| REPRESENTATIVE_URL |
https://simpson.house.gov |
| BPHC_SITE_NUM |
BPS-H80-038299 |
| 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 |
10 |
| STATE_ID |
13 |
| COUNTY_ID |
555 |
| CONG_DIST_ID |
9039 |
| CMN_REGION_CD |
10 |
| CMN_REGION_NM |
Region 10 |
| CMN_STATE_NM |
Idaho |
| CMN_STATE_ABBR |
ID |
| CMN_STATE_FIPS_CD |
16 |
| CMN_STATE_COUNTY_FIPS_CD |
16007 |
| CMN_COUNTY_NM_STATE_ABBR |
Bear Lake County, ID |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1602 |
| CMN_CONG_DIST_NM |
Idaho District 02 |
| CMN_ZIP_CD |
83254 |
| CMN_CITY_NUM |
Montpelier, ID |
| 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 05/28/2021, 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 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |