| SHAPE |
Point |
| HCC_FCT_ID |
11510 |
| SITE_SOURCE_ID |
0A13C2D5-34CC-411C-A84E-9B2EAAA4C131 |
| SITE_NM |
Leatherwood/Blackey Medical Clinic |
| UDS_NUM |
04060B |
| SITE_PHONE_NUM |
606-476-2593 |
| SITE_URL |
www.mchcky.com |
| TOT_OPER_HR_PER_WEEK |
54 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
BCC8F6DA-9937-4D87-BA14-71863FA3C5C5 |
| GRANT_NUM |
H80CS00367 |
| GRANTEE_NM |
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION |
| 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 |
3309 |
| SITE_ADDRESS_SOURCE_ID |
F23F2586-0580-4442-ADBB-2B5B7CECF0DA |
| SITE_ESR_SOURCE_ID |
FF9F624D-4E45-4BBA-98ED-99F6DD56F19C |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
464 KY Highway 699 |
| SITE_CITY |
Cornettsville |
| SITE_STATE_ABBR |
KY |
| SITE_ZIP_CD |
41731-8749 |
| 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 |
3 |
| HCC_TYP_DESC |
Administrative/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 |
193 |
| COUNTY_NM |
Perry |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Perry County |
| STATE_COUNTY_FIPS_CD |
21193 |
| STATE_FIPS_CD |
21 |
| STATE_NM |
Kentucky |
| US_SENATE_NM1 |
Mitch McConnell |
| US_SENATE_NM2 |
Rand Paul |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
05 |
| CONG_DIST_NM |
Kentucky District 05 |
| STATE_FIPS_CD_CONG_DIST_NUM |
2105 |
| REPRESENTATIVE_NM |
Harold Rogers |
| REPRESENTATIVE_URL |
https://halrogers.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-003391 |
| 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 |
420D571E-F0F7-4A08-B371-CF8811DDA011 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
18 |
| COUNTY_ID |
1090 |
| CONG_DIST_ID |
9078 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
Kentucky |
| CMN_STATE_ABBR |
KY |
| CMN_STATE_FIPS_CD |
21 |
| CMN_STATE_COUNTY_FIPS_CD |
21193 |
| CMN_COUNTY_NM_STATE_ABBR |
Perry County, KY |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2105 |
| CMN_CONG_DIST_NM |
Kentucky District 05 |
| CMN_ZIP_CD |
41731 |
| CMN_CITY_NUM |
Cornettsville, KY |
| 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. |