| SHAPE |
Point |
| 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_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. |