| SHAPE |
Point |
| HCC_FCT_ID |
16635 |
| SITE_SOURCE_ID |
1B60F831-EF15-4A85-B4CC-DFD0493D8A85 |
| SITE_NM |
Providence Community Health Center at Prairie Avenue |
| UDS_NUM |
|
| SITE_PHONE_NUM |
401-444-0570 |
| SITE_URL |
www.providencechc.org |
| TOT_OPER_HR_PER_WEEK |
76 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
563F4CE5-3116-4230-92CA-841DE95069A2 |
| GRANT_NUM |
H80CS00057 |
| GRANTEE_NM |
THE PROVIDENCE COMMUNITY HEALTH CENTERS, 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 |
Y |
| SITE_ADDRESS_ID |
12104 |
| SITE_ADDRESS_SOURCE_ID |
3A736163-93BB-46CB-92C9-A257BB59B61B |
| SITE_ESR_SOURCE_ID |
91F4D919-9022-47CA-BBC5-EB9B0A1C31C6 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
355 Prairie Ave |
| SITE_CITY |
Providence |
| SITE_STATE_ABBR |
RI |
| SITE_ZIP_CD |
02905-2393 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| 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 |
007 |
| COUNTY_NM |
Providence |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Providence County |
| STATE_COUNTY_FIPS_CD |
44007 |
| STATE_FIPS_CD |
44 |
| STATE_NM |
Rhode Island |
| US_SENATE_NM1 |
Jack Reed |
| US_SENATE_NM2 |
Sheldon Whitehouse |
| REGION_CD |
01 |
| REGION_NM |
Region 1 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
01 |
| CONG_DIST_NM |
Rhode Island District 01 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4401 |
| REPRESENTATIVE_NM |
Gabe Amo |
| REPRESENTATIVE_URL |
https://amo.house.gov |
| BPHC_SITE_NUM |
BPS-H80-011771 |
| 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 |
7153C9D9-20E5-4F9D-B21C-6E6A25EECCD4 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
1 |
| STATE_ID |
40 |
| COUNTY_ID |
2316 |
| CONG_DIST_ID |
9244 |
| CMN_REGION_CD |
01 |
| CMN_REGION_NM |
Region 1 |
| CMN_STATE_NM |
Rhode Island |
| CMN_STATE_ABBR |
RI |
| CMN_STATE_FIPS_CD |
44 |
| CMN_STATE_COUNTY_FIPS_CD |
44007 |
| CMN_COUNTY_NM_STATE_ABBR |
Providence County, RI |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4401 |
| CMN_CONG_DIST_NM |
Rhode Island District 01 |
| CMN_ZIP_CD |
02905 |
| CMN_CITY_NUM |
Providence, RI |
| 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. |