| SHAPE |
Point |
| HCC_FCT_ID |
13259 |
| SITE_SOURCE_ID |
5CB4E393-C44A-42D0-BB21-B352521CC631 |
| SITE_NM |
Family Medical Center - Bates Academy |
| UDS_NUM |
|
| SITE_PHONE_NUM |
313-494-7000 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
8 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
3DF0CF2B-5A1F-4850-8807-BDE33189BDBF |
| GRANT_NUM |
H80CS00390 |
| GRANTEE_NM |
FAMILY MEDICAL CENTER OF MICHIGAN, 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 |
499 |
| SITE_ADDRESS_SOURCE_ID |
17348976-13BA-4C3B-98E8-06D0607DC779 |
| SITE_ESR_SOURCE_ID |
A4F0B8AE-5A08-451E-BC18-276F71338D95 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
19701 Wyoming St |
| SITE_CITY |
Detroit |
| SITE_STATE_ABBR |
MI |
| SITE_ZIP_CD |
48221-1519 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Unknown |
| HCC_LOC_SETTING_ID |
2 |
| HCC_LOC_SETTING_DESC |
School |
| 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 |
163 |
| COUNTY_NM |
Wayne |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Wayne County |
| STATE_COUNTY_FIPS_CD |
26163 |
| STATE_FIPS_CD |
26 |
| STATE_NM |
Michigan |
| US_SENATE_NM1 |
Gary C. Peters |
| US_SENATE_NM2 |
Elissa Slotkin |
| REGION_CD |
05 |
| REGION_NM |
Region 5 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
12 |
| CONG_DIST_NM |
Michigan District 12 |
| STATE_FIPS_CD_CONG_DIST_NUM |
2612 |
| REPRESENTATIVE_NM |
Rashida Tlaib |
| REPRESENTATIVE_URL |
https://tlaib.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-037948 |
| 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 |
6D4D3879-DE14-4082-8CCF-31A79544F040 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
5 |
| STATE_ID |
23 |
| COUNTY_ID |
1313 |
| CONG_DIST_ID |
9116 |
| CMN_REGION_CD |
05 |
| CMN_REGION_NM |
Region 5 |
| CMN_STATE_NM |
Michigan |
| CMN_STATE_ABBR |
MI |
| CMN_STATE_FIPS_CD |
26 |
| CMN_STATE_COUNTY_FIPS_CD |
26163 |
| CMN_COUNTY_NM_STATE_ABBR |
Wayne County, MI |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2612 |
| CMN_CONG_DIST_NM |
Michigan District 12 |
| CMN_ZIP_CD |
48221 |
| CMN_CITY_NUM |
Detroit, MI |
| LOC_NAME |
01-ESRI |
| SCORE |
99 |
| 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. |