| SHAPE |
Point |
| HCC_FCT_ID |
8579 |
| SITE_SOURCE_ID |
A0A77661-4AAB-414C-9A40-6F7D7CFC0980 |
| SITE_NM |
VERSAILLES MEDICAL CENTER SITE |
| UDS_NUM |
05064D |
| SITE_PHONE_NUM |
937-526-3016 |
| SITE_URL |
www.buildinghealthylives.org |
| TOT_OPER_HR_PER_WEEK |
42 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
141B43B1-22FE-447A-8E5E-5B1F9D812FFD |
| GRANT_NUM |
H80CS00419 |
| GRANTEE_NM |
Family Health Services of Darke County, 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 |
14218 |
| SITE_ADDRESS_SOURCE_ID |
5194C888-C6BD-42EF-B597-B8D8A3E15591 |
| SITE_ESR_SOURCE_ID |
2E29649A-B5BB-4CE9-A8B6-0DD08FF916EA |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
10484 Kley Rd |
| SITE_CITY |
Versailles |
| SITE_STATE_ABBR |
OH |
| SITE_ZIP_CD |
45380-9561 |
| 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 |
037 |
| COUNTY_NM |
Darke |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Darke County |
| STATE_COUNTY_FIPS_CD |
39037 |
| STATE_FIPS_CD |
39 |
| STATE_NM |
Ohio |
| US_SENATE_NM1 |
Bernie Moreno |
| US_SENATE_NM2 |
Jon Husted |
| REGION_CD |
05 |
| REGION_NM |
Region 5 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
08 |
| CONG_DIST_NM |
Ohio District 08 |
| STATE_FIPS_CD_CONG_DIST_NUM |
3908 |
| REPRESENTATIVE_NM |
Warren Davidson |
| REPRESENTATIVE_URL |
https://davidson.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-002458 |
| 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 |
26160A75-686D-4364-9C17-180204D3DE6F |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
5 |
| STATE_ID |
36 |
| COUNTY_ID |
2063 |
| CONG_DIST_ID |
9209 |
| CMN_REGION_CD |
05 |
| CMN_REGION_NM |
Region 5 |
| CMN_STATE_NM |
Ohio |
| CMN_STATE_ABBR |
OH |
| CMN_STATE_FIPS_CD |
39 |
| CMN_STATE_COUNTY_FIPS_CD |
39037 |
| CMN_COUNTY_NM_STATE_ABBR |
Darke County, OH |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
3908 |
| CMN_CONG_DIST_NM |
Ohio District 08 |
| CMN_ZIP_CD |
45380 |
| CMN_CITY_NUM |
Versailles, OH |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL, and Service Objects |
| 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. |