| SHAPE |
Point |
| HCC_FCT_ID |
5110 |
| SITE_SOURCE_ID |
7F5C1BF2-8E40-439F-9F53-4486A35448E2 |
| SITE_NM |
Tri-State Community Health Center - Berkeley Springs |
| UDS_NUM |
|
| SITE_PHONE_NUM |
301-678-5187 |
| SITE_URL |
www.tschc.com |
| TOT_OPER_HR_PER_WEEK |
51 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
751A42AE-E707-4CCA-8CA8-95AED1A1F67C |
| GRANT_NUM |
H80CS00069 |
| GRANTEE_NM |
TRI-STATE COMMUNITY HEALTH CENTER |
| 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 |
12697 |
| SITE_ADDRESS_SOURCE_ID |
59CD7EF1-F9BA-4A61-8BFF-A9FA1FD07A85 |
| SITE_ESR_SOURCE_ID |
922A0DAE-563C-4E32-8A5A-D7226EAA5DF4 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
261 Berkmore Pl, Suite 1A |
| SITE_CITY |
Berkeley Springs |
| SITE_STATE_ABBR |
WV |
| SITE_ZIP_CD |
25411-6247 |
| 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 |
065 |
| COUNTY_NM |
Morgan |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Morgan County |
| STATE_COUNTY_FIPS_CD |
54065 |
| STATE_FIPS_CD |
54 |
| STATE_NM |
West Virginia |
| US_SENATE_NM1 |
Shelley Moore Capito |
| US_SENATE_NM2 |
James C. Justice |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
02 |
| CONG_DIST_NM |
West Virginia District 02 |
| STATE_FIPS_CD_CONG_DIST_NUM |
5402 |
| REPRESENTATIVE_NM |
Riley M. Moore |
| REPRESENTATIVE_URL |
https://rileymoore.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-012692 |
| 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 |
7E400BBA-19CD-4223-9C40-EC1EC73CF758 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
49 |
| COUNTY_ID |
3029 |
| CONG_DIST_ID |
9326 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
West Virginia |
| CMN_STATE_ABBR |
WV |
| CMN_STATE_FIPS_CD |
54 |
| CMN_STATE_COUNTY_FIPS_CD |
54065 |
| CMN_COUNTY_NM_STATE_ABBR |
Morgan County, WV |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5402 |
| CMN_CONG_DIST_NM |
West Virginia District 02 |
| CMN_ZIP_CD |
25411 |
| CMN_CITY_NUM |
Berkeley Springs, WV |
| 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 04/30/2021, 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 04/30/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |