OBJECTID: 539
HCC_FCT_ID: 10751
SITE_SOURCE_ID: CCCE91CF-A76B-4243-AF48-90C711443AFA
SITE_NM: Randall Sq Specialty Clinic Suite 308
UDS_NUM:
SITE_PHONE_NUM: 401-444-0400
SITE_URL:
TOT_OPER_HR_PER_WEEK: 45
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: 15694
SITE_ADDRESS_SOURCE_ID: 9D75AAB7-A42A-4B2C-8446-D1C51C1837F0
SITE_ESR_SOURCE_ID: F3ACC144-3C63-481D-B6A5-E4F13CBD5A7E
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 1 Randall Sq
SITE_CITY: Providence
SITE_STATE_ABBR: RI
SITE_ZIP_CD: 02904-2709
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: 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-H80-031889
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: 02904
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_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: -71.41044175799993
Y: 41.83696811600004


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