OBJECTID: 5138
HCC_FCT_ID: 10467
SITE_SOURCE_ID: DD4F28B1-D263-41E3-9596-8CEF50C8AE28
SITE_NM: La Casa Family Dentistry
UDS_NUM:
SITE_PHONE_NUM: 575-249-4200
SITE_URL: www.lacasahealth.com
TOT_OPER_HR_PER_WEEK: 40
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 13F4C826-AA0B-4B82-BC1B-55B9718A50BF
GRANT_NUM: H80CS00404
GRANTEE_NM: LA CASA DE BUENA SALUD, 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: 18832
SITE_ADDRESS_SOURCE_ID: D44C336F-207A-4651-A2E1-FD092982650C
SITE_ESR_SOURCE_ID: 5EC7E480-23DC-4735-B1F3-01B68E6E36C5
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 200 W Wilshire Blvd, Ste D
SITE_CITY: Roswell
SITE_STATE_ABBR: NM
SITE_ZIP_CD: 88201-0627
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: 005
COUNTY_NM: Chaves
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Chaves County
STATE_COUNTY_FIPS_CD: 35005
STATE_FIPS_CD: 35
STATE_NM: New Mexico
US_SENATE_NM1: Martin Heinrich
US_SENATE_NM2: Ben Ray Lujan
REGION_CD: 06
REGION_NM: Region 6
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 03
CONG_DIST_NM: New Mexico District 03
STATE_FIPS_CD_CONG_DIST_NUM: 3503
REPRESENTATIVE_NM: Teresa Leger Fernandez
REPRESENTATIVE_URL: https://fernandez.house.gov
BPHC_SITE_NUM: BPS-H80-034085
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: 941514F2-1FCC-4D70-95D7-71424A2088CF
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 6
STATE_ID: 32
COUNTY_ID: 1799
CONG_DIST_ID: 9161
CMN_REGION_CD: 06
CMN_REGION_NM: Region 6
CMN_STATE_NM: New Mexico
CMN_STATE_ABBR: NM
CMN_STATE_FIPS_CD: 35
CMN_STATE_COUNTY_FIPS_CD: 35005
CMN_COUNTY_NM_STATE_ABBR: Chaves County, NM
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 3503
CMN_CONG_DIST_NM: New Mexico District 03
CMN_ZIP_CD: 88201
CMN_CITY_NUM: Roswell, NM
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: -104.52467818999997
Y: 33.42690543400005


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