| SHAPE |
Point |
| HCC_FCT_ID |
2566 |
| SITE_SOURCE_ID |
7143D390-307D-499D-B1F8-21C32E7886F3 |
| SITE_NM |
Surry Medical Center |
| UDS_NUM |
|
| SITE_PHONE_NUM |
804-834-8871 |
| SITE_URL |
NONE |
| TOT_OPER_HR_PER_WEEK |
44.5 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
A4E89EA2-F4A9-4200-83E6-2E28EDFFC7BC |
| GRANT_NUM |
H80CS00352 |
| GRANTEE_NM |
HORIZON HEALTH SERVICES 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 |
18350 |
| SITE_ADDRESS_SOURCE_ID |
B16A1C3B-6BE1-4EB4-A3AD-EFA7816CEAB4 |
| SITE_ESR_SOURCE_ID |
3074C72B-E080-4B37-B842-763E4BAF7EC5 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
440 Colonial Trl W |
| SITE_CITY |
Dendron |
| SITE_STATE_ABBR |
VA |
| SITE_ZIP_CD |
23839-2205 |
| 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 |
181 |
| COUNTY_NM |
Surry |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Surry County |
| STATE_COUNTY_FIPS_CD |
51181 |
| STATE_FIPS_CD |
51 |
| STATE_NM |
Virginia |
| US_SENATE_NM1 |
Mark R. Warner |
| US_SENATE_NM2 |
Tim Kaine |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
04 |
| CONG_DIST_NM |
Virginia District 04 |
| STATE_FIPS_CD_CONG_DIST_NUM |
5104 |
| REPRESENTATIVE_NM |
Jennifer L. McClellan |
| REPRESENTATIVE_URL |
https://mcclellan.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-000800 |
| 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 |
8C8733A3-D44D-47EC-B8E9-407C74959A3A |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
47 |
| COUNTY_ID |
2908 |
| CONG_DIST_ID |
9307 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
Virginia |
| CMN_STATE_ABBR |
VA |
| CMN_STATE_FIPS_CD |
51 |
| CMN_STATE_COUNTY_FIPS_CD |
51181 |
| CMN_COUNTY_NM_STATE_ABBR |
Surry County, VA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5104 |
| CMN_CONG_DIST_NM |
Virginia District 04 |
| CMN_ZIP_CD |
23839 |
| CMN_CITY_NUM |
Dendron, VA |
| 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_TEST_CAP |
As of 04/30/2021, 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 04/30/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |