| SHAPE |
Point |
| HCC_FCT_ID |
2850 |
| SITE_SOURCE_ID |
057F7FCF-533C-4A89-AE4F-26B0EDEA94C8 |
| SITE_NM |
Camden Family Health Cherry River Mobile1 |
| UDS_NUM |
|
| SITE_PHONE_NUM |
304-846-2588 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
4 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
9F40C58D-7678-450C-834A-CDDA94F0ECE5 |
| GRANT_NUM |
H80CS00078 |
| GRANTEE_NM |
CAMDEN-ON-GAULEY MEDICAL CENTER, 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 |
11483 |
| SITE_ADDRESS_SOURCE_ID |
49BC483F-7BBA-48DB-A6E3-99E66D00232F |
| SITE_ESR_SOURCE_ID |
FCC11395-0FD4-4087-B46D-01A427735D5F |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
100 Lumberjack Loop |
| SITE_CITY |
Richwood |
| SITE_STATE_ABBR |
WV |
| SITE_ZIP_CD |
26261 |
| 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 |
067 |
| COUNTY_NM |
Nicholas |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Nicholas County |
| STATE_COUNTY_FIPS_CD |
54067 |
| 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 |
01 |
| CONG_DIST_NM |
West Virginia District 01 |
| STATE_FIPS_CD_CONG_DIST_NUM |
5401 |
| REPRESENTATIVE_NM |
Carol D. Miller |
| REPRESENTATIVE_URL |
https://miller.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-033020 |
| 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 |
5068DF07-AECF-45A9-9C85-A1E9BEB29D15 |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
49 |
| COUNTY_ID |
3030 |
| CONG_DIST_ID |
9325 |
| 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 |
54067 |
| CMN_COUNTY_NM_STATE_ABBR |
Nicholas County, WV |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5401 |
| CMN_CONG_DIST_NM |
West Virginia District 01 |
| CMN_ZIP_CD |
26261 |
| CMN_CITY_NUM |
Richwood, 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 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. |