OBJECTID: 4517
HCC_FCT_ID: 2546
SITE_SOURCE_ID: C3DEE3ED-8DF4-4CF3-95B4-225F41151BF0
SITE_NM: North Fork Primary Care
UDS_NUM: 03104A
SITE_PHONE_NUM: 304-567-2101
SITE_URL: www.pcc-nfc.org
TOT_OPER_HR_PER_WEEK: 41
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 515BC433-1CEB-465F-B3A8-E4836FD863D4
GRANT_NUM: H80CS00337
GRANTEE_NM: PENDLETON COMMUNITY CARE, 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: 17746
SITE_ADDRESS_SOURCE_ID: B5F1DA00-F9FF-4F48-9943-EE7A3B114B7C
SITE_ESR_SOURCE_ID: FA8C3273-3940-4A06-A2D9-9884A5F79F1E
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 16921 Mountaineer Dr
SITE_CITY: Riverton
SITE_STATE_ABBR: WV
SITE_ZIP_CD: 26814-7521
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Rural
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: 1
HCC_OPER_SCHD_DESC: Full-Time
HCC_CLND_SCHD_ID: 1
HCC_CLND_SCHD_DIM_DESC: Year-Round
COUNTY_FIPS_CD: 071
COUNTY_NM: Pendleton
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Pendleton County
STATE_COUNTY_FIPS_CD: 54071
STATE_FIPS_CD: 54
STATE_NM: West Virginia
US_SENATE_NM1: Shelley Moore Capito
US_SENATE_NM2: James C. Justice
REGION_CD: 03
REGION_NM: Region 3
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 01
CONG_DIST_NM: West Virginia District 01
STATE_FIPS_CD_CONG_DIST_NUM: 5401
REPRESENTATIVE_NM: Carol D. Miller
REPRESENTATIVE_URL: https://miller.house.gov/
BPHC_SITE_NUM: BPS-H80-000820
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: 684C62A1-EDD8-49C2-B90D-F4B6E4C52D61
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 3
STATE_ID: 49
COUNTY_ID: 3032
CONG_DIST_ID: 9325
CMN_REGION_CD: 03
CMN_REGION_NM: Region 3
CMN_STATE_NM: West Virginia
CMN_STATE_ABBR: WV
CMN_STATE_FIPS_CD: 54
CMN_STATE_COUNTY_FIPS_CD: 54071
CMN_COUNTY_NM_STATE_ABBR: Pendleton County, WV
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 5401
CMN_CONG_DIST_NM: West Virginia District 01
CMN_ZIP_CD: 26814
CMN_CITY_NUM: Riverton, WV
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 01/01/2021, 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 01/01/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information.
Point:
X: -79.43389703499997
Y: 38.75303468100003


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