| SHAPE |
Point |
| HCC_FCT_ID |
16800 |
| SITE_SOURCE_ID |
CFE892D0-33EB-4698-B551-E1E40C2A0B2D |
| SITE_NM |
DBA LA CASA FAMILY HEALTH CENTER |
| UDS_NUM |
061290 |
| SITE_PHONE_NUM |
505-356-6695 |
| 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 |
17186 |
| SITE_ADDRESS_SOURCE_ID |
DAD1DE97-97BC-4079-A81D-E6D83278C0C7 |
| SITE_ESR_SOURCE_ID |
B00E78B4-552D-44D9-B2D0-8C67C5637F17 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
1515 W Fir St |
| SITE_CITY |
Portales |
| SITE_STATE_ABBR |
NM |
| SITE_ZIP_CD |
88130-5703 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Rural |
| 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 |
1 |
| HCC_OPER_SCHD_DESC |
Full-Time |
| HCC_CLND_SCHD_ID |
1 |
| HCC_CLND_SCHD_DIM_DESC |
Year-Round |
| COUNTY_FIPS_CD |
041 |
| COUNTY_NM |
Roosevelt |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Roosevelt County |
| STATE_COUNTY_FIPS_CD |
35041 |
| 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-H80-004988 |
| 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 |
1819 |
| 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 |
35041 |
| CMN_COUNTY_NM_STATE_ABBR |
Roosevelt County, NM |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3503 |
| CMN_CONG_DIST_NM |
New Mexico District 03 |
| CMN_ZIP_CD |
88130 |
| CMN_CITY_NUM |
Portales, NM |
| 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. |