| SHAPE |
Point |
| HCC_FCT_ID |
6818 |
| SITE_SOURCE_ID |
CB6AFF29-DC46-4306-995C-594BD82FE6FD |
| SITE_NM |
Obion County Medical Clinic |
| UDS_NUM |
|
| SITE_PHONE_NUM |
731-536-0371 x73125 |
| SITE_URL |
www.clchc.com |
| TOT_OPER_HR_PER_WEEK |
37.5 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
7D6CA70E-90BE-4A86-A373-2BD44908C391 |
| GRANT_NUM |
H80CS00333 |
| GRANTEE_NM |
Citizens of Lake County for Health Care, Inc. |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
Y |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
15503 |
| SITE_ADDRESS_SOURCE_ID |
BEEECC5F-64F6-4B69-B13C-C9D223C9C807 |
| SITE_ESR_SOURCE_ID |
76986297-41E6-4EF5-8035-05BEAC0A1B72 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
321 W Harper St |
| SITE_CITY |
Troy |
| SITE_STATE_ABBR |
TN |
| SITE_ZIP_CD |
38260-5653 |
| 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 |
131 |
| COUNTY_NM |
Obion |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Obion County |
| STATE_COUNTY_FIPS_CD |
47131 |
| STATE_FIPS_CD |
47 |
| STATE_NM |
Tennessee |
| US_SENATE_NM1 |
Marsha Blackburn |
| US_SENATE_NM2 |
Bill Hagerty |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
08 |
| CONG_DIST_NM |
Tennessee District 08 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4708 |
| REPRESENTATIVE_NM |
David Kustoff |
| REPRESENTATIVE_URL |
https://kustoff.house.gov |
| BPHC_SITE_NUM |
BPS-H80-031113 |
| 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 |
CD5F27A7-68E1-4876-B968-533ABD2F717A |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
43 |
| COUNTY_ID |
2495 |
| CONG_DIST_ID |
9261 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
Tennessee |
| CMN_STATE_ABBR |
TN |
| CMN_STATE_FIPS_CD |
47 |
| CMN_STATE_COUNTY_FIPS_CD |
47131 |
| CMN_COUNTY_NM_STATE_ABBR |
Obion County, TN |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4708 |
| CMN_CONG_DIST_NM |
Tennessee District 08 |
| CMN_ZIP_CD |
38260 |
| CMN_CITY_NUM |
Troy, TN |
| LOC_NAME |
02-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 05/21/2021, 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. |