| SHAPE |
Point |
| HCC_FCT_ID |
9048 |
| SITE_SOURCE_ID |
E9EB38C7-4390-4200-B1FB-794FA840756B |
| SITE_NM |
CAREVAN |
| UDS_NUM |
|
| SITE_PHONE_NUM |
541-479-6393 |
| SITE_URL |
www.siskiyouhealthcenter.com |
| TOT_OPER_HR_PER_WEEK |
16 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
46757B34-485D-486C-9A73-F26FFE8CC983 |
| GRANT_NUM |
H80CS00369 |
| GRANTEE_NM |
SISKIYOU COMMUNITY HEALTH CENTER, 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 |
18219 |
| SITE_ADDRESS_SOURCE_ID |
2E1B9283-F598-4EFA-8F09-F4BB91E4B92C |
| SITE_ESR_SOURCE_ID |
1BE21450-E860-494A-8E19-95C3D430AB37 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1701 NW Hawthorne Ave |
| SITE_CITY |
Grants Pass |
| SITE_STATE_ABBR |
OR |
| SITE_ZIP_CD |
97526-1051 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Unknown |
| HCC_LOC_SETTING_ID |
7 |
| HCC_LOC_SETTING_DESC |
All Other Clinic Types |
| HCC_STATUS_ID |
1 |
| HCC_STATUS_DESC |
Active |
| HCC_LOC_ID |
5 |
| HCC_LOC_DESC |
Mobile Van |
| HCC_TYP_ID |
2 |
| HCC_TYP_DESC |
Service Delivery Site |
| HCC_OPER_ID |
1 |
| HCC_OPER_DESC |
Health Center/Applicant |
| HCC_OPER_SCHD_ID |
0 |
| HCC_OPER_SCHD_DESC |
Unknown |
| HCC_CLND_SCHD_ID |
0 |
| HCC_CLND_SCHD_DIM_DESC |
Unknown |
| COUNTY_FIPS_CD |
033 |
| COUNTY_NM |
Josephine |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Josephine County |
| STATE_COUNTY_FIPS_CD |
41033 |
| STATE_FIPS_CD |
41 |
| STATE_NM |
Oregon |
| US_SENATE_NM1 |
Ron Wyden |
| US_SENATE_NM2 |
Jeff Merkley |
| REGION_CD |
10 |
| REGION_NM |
Region 10 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
Oregon District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4102 |
| REPRESENTATIVE_NM |
Cliff Bentz |
| REPRESENTATIVE_URL |
https://bentz.house.gov |
| BPHC_SITE_NUM |
BPS-H80-018931 |
| 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 |
43ECD1CC-26D2-4EF2-84CA-3AA39F0F06D3 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
10 |
| STATE_ID |
38 |
| COUNTY_ID |
2226 |
| CONG_DIST_ID |
9223 |
| CMN_REGION_CD |
10 |
| CMN_REGION_NM |
Region 10 |
| CMN_STATE_NM |
Oregon |
| CMN_STATE_ABBR |
OR |
| CMN_STATE_FIPS_CD |
41 |
| CMN_STATE_COUNTY_FIPS_CD |
41033 |
| CMN_COUNTY_NM_STATE_ABBR |
Josephine County, OR |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4102 |
| CMN_CONG_DIST_NM |
Oregon District 02 |
| CMN_ZIP_CD |
97526 |
| CMN_CITY_NUM |
Grants Pass, OR |
| 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 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. |