OBJECTID: 4585
HCC_FCT_ID: 13173
SITE_SOURCE_ID: 53C08AE1-030D-4508-A6EF-ACCA06F81088
SITE_NM: Marin Community Clinic - 4th Street Dental
UDS_NUM:
SITE_PHONE_NUM: 415-448-1500
SITE_URL: www.marinclinic.org
TOT_OPER_HR_PER_WEEK: 81
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 92F3D26D-872D-4291-BAEC-60D4340D11D1
GRANT_NUM: H80CS00343
GRANTEE_NM: MARIN COMMUNITY CLINIC
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: 166
SITE_ADDRESS_SOURCE_ID: 082CF2CB-CC03-4B99-86E2-0251ABC2069B
SITE_ESR_SOURCE_ID: 196E862F-937C-45E9-808B-B65656B12903
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 411 4th St, Suite A
SITE_CITY: San Rafael
SITE_STATE_ABBR: CA
SITE_ZIP_CD: 94901-5716
US_MEXICO_BORDER_100KM_IND: N
SITE_POP_TYP_DESC: Urban
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: 041
COUNTY_NM: Marin
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Marin County
STATE_COUNTY_FIPS_CD: 06041
STATE_FIPS_CD: 06
STATE_NM: California
US_SENATE_NM1: Alex Padilla
US_SENATE_NM2: Adam B. Schiff
REGION_CD: 09
REGION_NM: Region 9
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: California District 02
STATE_FIPS_CD_CONG_DIST_NUM: 0602
REPRESENTATIVE_NM: Jared Huffman
REPRESENTATIVE_URL: https://huffman.house.gov
BPHC_SITE_NUM: BPS-H80-011038
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: N
GRANT_SOURCE_ID: BAB3D6FC-E558-4B03-934A-DFE5C8A63265
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 9
STATE_ID: 5
COUNTY_ID: 208
CONG_DIST_ID: 8930
CMN_REGION_CD: 09
CMN_REGION_NM: Region 9
CMN_STATE_NM: California
CMN_STATE_ABBR: CA
CMN_STATE_FIPS_CD: 06
CMN_STATE_COUNTY_FIPS_CD: 06041
CMN_COUNTY_NM_STATE_ABBR: Marin County, CA
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 0602
CMN_CONG_DIST_NM: California District 02
CMN_ZIP_CD: 94901
CMN_CITY_NUM: San Rafael, CA
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 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.
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.
Point:
X: -122.51803019199997
Y: 37.97156373900003


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