OBJECTID: 4969
HCC_FCT_ID: 14695
SITE_SOURCE_ID: 90217F28-9DE3-4F17-B8B8-C5EAD8F7C945
SITE_NM: Family Medical Center - Mason Academy
UDS_NUM:
SITE_PHONE_NUM: 734-654-2169
SITE_URL:
TOT_OPER_HR_PER_WEEK: 12
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: 14178
SITE_ADDRESS_SOURCE_ID: 2B08A8A2-32E2-4155-9CFD-BE0357004B77
SITE_ESR_SOURCE_ID: BC6B107B-519E-466E-9063-631AEA41B0F8
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 19955 Fenelon St
SITE_CITY: Detroit
SITE_STATE_ABBR: MI
SITE_ZIP_CD: 48234-2298
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: 13
CONG_DIST_NM: Michigan District 13
STATE_FIPS_CD_CONG_DIST_NUM: 2613
REPRESENTATIVE_NM: Shri Thanedar
REPRESENTATIVE_URL: https://thanedar.house.gov
BPHC_SITE_NUM: BPS-H80-038628
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: 9117
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: 2613
CMN_CONG_DIST_NM: Michigan District 13
CMN_ZIP_CD: 48234
CMN_CITY_NUM: Detroit, MI
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: -83.05379366599999
Y: 42.44225899800006


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