| SHAPE |
Point |
| HCC_FCT_ID |
8751 |
| SITE_SOURCE_ID |
2B7FBC6D-3AD2-43F3-AA28-7570C6A3FE81 |
| SITE_NM |
CareConnect Family Practice |
| UDS_NUM |
|
| SITE_PHONE_NUM |
229-384-5576 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
42.5 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
093B0A7C-F65A-4B1F-99AF-EB825A7385DD |
| GRANT_NUM |
H80CS00393 |
| GRANTEE_NM |
CARECONNECT 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 |
4211 |
| SITE_ADDRESS_SOURCE_ID |
FC4893DD-3F30-4ED8-BABA-37F50DF33938 |
| SITE_ESR_SOURCE_ID |
8F114E3F-D32F-4000-8E99-9D77F58912AA |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
254 Wright Ave |
| SITE_CITY |
Roberta |
| SITE_STATE_ABBR |
GA |
| SITE_ZIP_CD |
31078-4945 |
| 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 |
079 |
| COUNTY_NM |
Crawford |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Crawford County |
| STATE_COUNTY_FIPS_CD |
13079 |
| STATE_FIPS_CD |
13 |
| STATE_NM |
Georgia |
| US_SENATE_NM1 |
Jon Ossoff |
| US_SENATE_NM2 |
Raphael G. Warnock |
| REGION_CD |
04 |
| REGION_NM |
Region 4 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
Georgia District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
1302 |
| REPRESENTATIVE_NM |
Sanford D. Bishop, Jr. |
| REPRESENTATIVE_URL |
https://bishop.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-031111 |
| 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 |
Y |
| GRANT_SOURCE_ID |
18B0B98A-E183-47B8-89E3-12137F078B74 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
4 |
| STATE_ID |
11 |
| COUNTY_ID |
426 |
| CONG_DIST_ID |
9023 |
| CMN_REGION_CD |
04 |
| CMN_REGION_NM |
Region 4 |
| CMN_STATE_NM |
Georgia |
| CMN_STATE_ABBR |
GA |
| CMN_STATE_FIPS_CD |
13 |
| CMN_STATE_COUNTY_FIPS_CD |
13079 |
| CMN_COUNTY_NM_STATE_ABBR |
Crawford County, GA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
1302 |
| CMN_CONG_DIST_NM |
Georgia District 02 |
| CMN_ZIP_CD |
31078 |
| CMN_CITY_NUM |
Roberta, GA |
| 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. |