| SHAPE |
Point |
| HCC_FCT_ID |
6246 |
| SITE_SOURCE_ID |
014FB1DA-6200-4B83-9888-52FCB77F5E42 |
| SITE_NM |
StayWell South End Health Center |
| UDS_NUM |
01241B |
| SITE_PHONE_NUM |
203-597-9044 |
| SITE_URL |
www.staywellhealth.org |
| TOT_OPER_HR_PER_WEEK |
65 |
| 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 |
9982 |
| SITE_ADDRESS_SOURCE_ID |
942162D8-C2D1-4FC0-A00A-83DBEAA20DEB |
| SITE_ESR_SOURCE_ID |
91BDC01D-9109-4A35-80F0-C4596DE71040 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1302 S Main St |
| SITE_CITY |
Waterbury |
| SITE_STATE_ABBR |
CT |
| SITE_ZIP_CD |
06706-1748 |
| 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 |
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 |
03 |
| CONG_DIST_NM |
Connecticut District 03 |
| STATE_FIPS_CD_CONG_DIST_NUM |
0903 |
| REPRESENTATIVE_NM |
Rosa L. DeLauro |
| REPRESENTATIVE_URL |
https://delauro.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-001847 |
| 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 |
8990 |
| 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 |
0903 |
| CMN_CONG_DIST_NM |
Connecticut District 03 |
| CMN_ZIP_CD |
06706 |
| CMN_CITY_NUM |
Waterbury, CT |
| 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 05/28/2021, 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 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |