OBJECTID: 4261
HCC_FCT_ID: 3105
SITE_SOURCE_ID: 011DC71D-835E-4FEB-892F-2A03A0BEE1E0
SITE_NM: Phoebe Sumter Primary Care Clinic - Ellaville
UDS_NUM:
SITE_PHONE_NUM: 229-937-5321
SITE_URL: https://www.phoebehealth.com/locations/phoebe-sumter-medical-center/ellaville-clinic
TOT_OPER_HR_PER_WEEK: 44
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 1DCA3A06-5732-485A-9461-CA790A632F13
GRANT_NUM: H80CS00322
GRANTEE_NM: DEPARTMENT OF COMMUNITY HEALTH GEORGIA
GRANTEE_ORG_DESC: U.S. Government Entity
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: 14310
SITE_ADDRESS_SOURCE_ID: A2FFFDD4-FD6B-409A-97F4-BFC964875058
SITE_ESR_SOURCE_ID: D713D3A3-6817-4911-9FDE-AF90EFF39594
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 339 S Broad St
SITE_CITY: Ellaville
SITE_STATE_ABBR: GA
SITE_ZIP_CD: 31806-3304
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: 3
HCC_OPER_DESC: Contractor
HCC_OPER_SCHD_ID: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 249
COUNTY_NM: Schley
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Schley County
STATE_COUNTY_FIPS_CD: 13249
STATE_FIPS_CD: 13
STATE_NM: Georgia
US_SENATE_NM1: Jon Ossoff
US_SENATE_NM2: Raphael G. Warnock
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: Georgia District 02
STATE_FIPS_CD_CONG_DIST_NUM: 1302
REPRESENTATIVE_NM: Sanford D. Bishop, Jr.
REPRESENTATIVE_URL: https://bishop.house.gov/
BPHC_SITE_NUM: BPS-H80-027592
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: FB0468A5-B46E-4F16-8E90-59C4EB371E1D
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 11
COUNTY_ID: 510
CONG_DIST_ID: 9023
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Georgia
CMN_STATE_ABBR: GA
CMN_STATE_FIPS_CD: 13
CMN_STATE_COUNTY_FIPS_CD: 13249
CMN_COUNTY_NM_STATE_ABBR: Schley County, GA
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1302
CMN_CONG_DIST_NM: Georgia District 02
CMN_ZIP_CD: 31806
CMN_CITY_NUM: Ellaville, GA
LOC_NAME: 01-ESRI,SO
SCORE: 100
APPROX_VALUE_CD: N
LOC_NAME_DESC: Data was matched at the Address level using AGOL, and Service Objects
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: -84.30834974399994
Y: 32.23305466200003


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