OBJECTID: 4833
HCC_FCT_ID: 14488
SITE_SOURCE_ID: 9D8BD10C-18F5-4F98-90EF-C330E8109FEA
SITE_NM: Optimus Wellness Clinic
UDS_NUM:
SITE_PHONE_NUM: 203-696-3260
SITE_URL:
TOT_OPER_HR_PER_WEEK: 40
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 647B8699-6289-421D-80F3-091DB607E9F6
GRANT_NUM: H80CS00377
GRANTEE_NM: OPTIMUS 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: 4831
SITE_ADDRESS_SOURCE_ID: F1D073E5-27A1-4F6C-9A19-4038F8E3D4BD
SITE_ESR_SOURCE_ID: 3858BAB4-F9DF-4517-B86A-41A6302BF76F
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 975 E Main St
SITE_CITY: Bridgeport
SITE_STATE_ABBR: CT
SITE_ZIP_CD: 06608-1914
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: 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: 0
HCC_OPER_SCHD_DESC: Unknown
HCC_CLND_SCHD_ID: 0
HCC_CLND_SCHD_DIM_DESC: Unknown
COUNTY_FIPS_CD: 120
COUNTY_NM: Greater Bridgeport
COUNTY_DESC: Planning Region
LIST_BOX_COUNTY_NM: Greater Bridgeport Planning Region
STATE_COUNTY_FIPS_CD: 09120
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: 04
CONG_DIST_NM: Connecticut District 04
STATE_FIPS_CD_CONG_DIST_NUM: 0904
REPRESENTATIVE_NM: James A. Himes
REPRESENTATIVE_URL: https://himes.house.gov/
BPHC_SITE_NUM: BPS-H80-038357
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: 8C5BA37C-A0F6-4C05-8BED-F72C2E8BD62F
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 1
STATE_ID: 7
COUNTY_ID: 3319
CONG_DIST_ID: 8991
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: 09120
CMN_COUNTY_NM_STATE_ABBR: Greater Bridgeport Planning Region, CT
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 0904
CMN_CONG_DIST_NM: Connecticut District 04
CMN_ZIP_CD: 06608
CMN_CITY_NUM: Bridgeport, 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: -73.18099517099995
Y: 41.18797449500005


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