| SHAPE |
Point |
| HCC_FCT_ID |
8885 |
| SITE_SOURCE_ID |
071856BA-A077-4044-B831-73D4ADAA4DD3 |
| SITE_NM |
Tri-State Community Health Center - Mobile Medical Clinic |
| UDS_NUM |
|
| SITE_PHONE_NUM |
301-678-5187 |
| SITE_URL |
www.tschc.com |
| TOT_OPER_HR_PER_WEEK |
16 |
| 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 |
8992 |
| SITE_ADDRESS_SOURCE_ID |
E358A3FE-6A4E-4859-B081-754692E87E14 |
| SITE_ESR_SOURCE_ID |
F544BDD6-CE54-499B-8AE4-36036A713988 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
130 W High St |
| SITE_CITY |
Hancock |
| SITE_STATE_ABBR |
MD |
| SITE_ZIP_CD |
21750-1199 |
| 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 |
5 |
| HCC_LOC_DESC |
Mobile Van |
| 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 |
043 |
| COUNTY_NM |
Washington |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Washington County |
| STATE_COUNTY_FIPS_CD |
24043 |
| STATE_FIPS_CD |
24 |
| STATE_NM |
Maryland |
| US_SENATE_NM1 |
Chris Van Hollen |
| US_SENATE_NM2 |
Angela D. Alsobrooks |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
06 |
| CONG_DIST_NM |
Maryland District 06 |
| STATE_FIPS_CD_CONG_DIST_NUM |
2406 |
| REPRESENTATIVE_NM |
April McClain Delaney |
| REPRESENTATIVE_URL |
https://mcclaindelaney.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-034787 |
| 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 |
7E400BBA-19CD-4223-9C40-EC1EC73CF758 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
21 |
| COUNTY_ID |
1214 |
| CONG_DIST_ID |
9093 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
Maryland |
| CMN_STATE_ABBR |
MD |
| CMN_STATE_FIPS_CD |
24 |
| CMN_STATE_COUNTY_FIPS_CD |
24043 |
| CMN_COUNTY_NM_STATE_ABBR |
Washington County, MD |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
2406 |
| CMN_CONG_DIST_NM |
Maryland District 06 |
| CMN_ZIP_CD |
21750 |
| CMN_CITY_NUM |
Hancock, MD |
| 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. |