| SHAPE |
Point |
| HCC_FCT_ID |
17797 |
| SITE_SOURCE_ID |
8FEFB384-62A5-42F5-A9D5-EFAED346FDF3 |
| SITE_NM |
Charles River Community Health at 43 Foundry Ave |
| UDS_NUM |
|
| SITE_PHONE_NUM |
781-693-3800 |
| SITE_URL |
http://www.charlesriverhealth.org |
| TOT_OPER_HR_PER_WEEK |
59 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
F54D60E7-3911-48B1-B842-5F2A677F513E |
| GRANT_NUM |
H80CS00378 |
| GRANTEE_NM |
CHARLES RIVER COMMUNITY HEALTH, INC |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
Y |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
16392 |
| SITE_ADDRESS_SOURCE_ID |
639A31F1-90EC-4A72-A176-DBB9D9BF7196 |
| SITE_ESR_SOURCE_ID |
930DA1B1-011C-4D5A-9D94-E551738598AF |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
43 Foundry Ave |
| SITE_CITY |
Waltham |
| SITE_STATE_ABBR |
MA |
| SITE_ZIP_CD |
02453-8313 |
| 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 |
3 |
| HCC_TYP_DESC |
Administrative/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 |
017 |
| COUNTY_NM |
Middlesex |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Middlesex County |
| STATE_COUNTY_FIPS_CD |
25017 |
| STATE_FIPS_CD |
25 |
| STATE_NM |
Massachusetts |
| US_SENATE_NM1 |
Elizabeth Warren |
| US_SENATE_NM2 |
Edward J. Markey |
| REGION_CD |
01 |
| REGION_NM |
Region 1 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
05 |
| CONG_DIST_NM |
Massachusetts District 05 |
| STATE_FIPS_CD_CONG_DIST_NUM |
2505 |
| REPRESENTATIVE_NM |
Katherine M. Clark |
| REPRESENTATIVE_URL |
https://katherineclark.house.gov |
| BPHC_SITE_NUM |
BPS-H80-020949 |
| 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 |
1A124FD9-107B-456B-B76B-3BE06949AE91 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
1 |
| STATE_ID |
22 |
| COUNTY_ID |
1226 |
| CONG_DIST_ID |
9100 |
| CMN_REGION_CD |
01 |
| CMN_REGION_NM |
Region 1 |
| CMN_STATE_NM |
Massachusetts |
| CMN_STATE_ABBR |
MA |
| CMN_STATE_FIPS_CD |
25 |
| CMN_STATE_COUNTY_FIPS_CD |
25017 |
| CMN_COUNTY_NM_STATE_ABBR |
Middlesex County, MA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2505 |
| CMN_CONG_DIST_NM |
Massachusetts District 05 |
| CMN_ZIP_CD |
02453 |
| CMN_CITY_NUM |
Waltham, MA |
| 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. |