OBJECTID: 4620
HCC_FCT_ID: 12743
SITE_SOURCE_ID: 0E654914-B799-48A0-B55E-AC33EED67717
SITE_NM: StayWell Health Center at Western CT Mental Health Network
UDS_NUM: 01241F
SITE_PHONE_NUM: 203-805-5300
SITE_URL: N/A
TOT_OPER_HR_PER_WEEK: 16
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 0CD10336-64F9-496A-AF94-B6BA6DB1AF24
GRANT_NUM: H80CS00350
GRANTEE_NM: STAYWELL HEALTH 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: 5873
SITE_ADDRESS_SOURCE_ID: 6B9D723E-E1D4-4126-9D66-4E86925B549C
SITE_ESR_SOURCE_ID: 05396BCE-AFB7-4BAA-9AE2-F663203649B7
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 95 Thomaston Ave
SITE_CITY: Waterbury
SITE_STATE_ABBR: CT
SITE_ZIP_CD: 06702-1007
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: 2
HCC_OPER_SCHD_DESC: Part-Time
HCC_CLND_SCHD_ID: 1
HCC_CLND_SCHD_DIM_DESC: Year-Round
COUNTY_FIPS_CD: 140
COUNTY_NM: Naugatuck Valley
COUNTY_DESC: Planning Region
LIST_BOX_COUNTY_NM: Naugatuck Valley Planning Region
STATE_COUNTY_FIPS_CD: 09140
STATE_FIPS_CD: 09
STATE_NM: Connecticut
US_SENATE_NM1: Richard Blumenthal
US_SENATE_NM2: Christopher Murphy
REGION_CD: 01
REGION_NM: Region 1
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 05
CONG_DIST_NM: Connecticut District 05
STATE_FIPS_CD_CONG_DIST_NUM: 0905
REPRESENTATIVE_NM: Jahana Hayes
REPRESENTATIVE_URL: https://hayes.house.gov
BPHC_SITE_NUM: BPS-H80-006921
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: C48635F5-6001-41FA-A7C4-61B796ABE3DE
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 1
STATE_ID: 7
COUNTY_ID: 3321
CONG_DIST_ID: 8992
CMN_REGION_CD: 01
CMN_REGION_NM: Region 1
CMN_STATE_NM: Connecticut
CMN_STATE_ABBR: CT
CMN_STATE_FIPS_CD: 09
CMN_STATE_COUNTY_FIPS_CD: 09140
CMN_COUNTY_NM_STATE_ABBR: Naugatuck Valley Planning Region, CT
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 0905
CMN_CONG_DIST_NM: Connecticut District 05
CMN_ZIP_CD: 06702
CMN_CITY_NUM: Waterbury, CT
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: -73.05337415699995
Y: 41.55957498200007


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