| SHAPE |
Point |
| HCC_FCT_ID |
13098 |
| SITE_SOURCE_ID |
6508A253-1983-418C-8514-B10F610B7864 |
| SITE_NM |
Community Care of Bridgeport |
| UDS_NUM |
|
| SITE_PHONE_NUM |
304-848-5770 |
| SITE_URL |
ccwv.org |
| TOT_OPER_HR_PER_WEEK |
63 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
7186AED6-B4A2-46D1-8E9A-1022BA545E7A |
| GRANT_NUM |
H80CS00080 |
| GRANTEE_NM |
COMMUNITY CARE OF WEST VIRGINIA, 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 |
4050 |
| SITE_ADDRESS_SOURCE_ID |
D9AC2BB1-DDCC-4C34-A690-359B53416023 |
| SITE_ESR_SOURCE_ID |
8201EEA7-D431-4857-B80A-F4B567320E41 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
65 Professional Pl |
| SITE_CITY |
Bridgeport |
| SITE_STATE_ABBR |
WV |
| SITE_ZIP_CD |
26330-0258 |
| 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 |
0 |
| HCC_OPER_SCHD_DESC |
Unknown |
| HCC_CLND_SCHD_ID |
0 |
| HCC_CLND_SCHD_DIM_DESC |
Unknown |
| COUNTY_FIPS_CD |
033 |
| COUNTY_NM |
Harrison |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Harrison County |
| STATE_COUNTY_FIPS_CD |
54033 |
| 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-H80-015442 |
| 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 |
AA200375-FA2F-494F-B721-08061C7F2ECF |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
49 |
| COUNTY_ID |
3013 |
| 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 |
54033 |
| CMN_COUNTY_NM_STATE_ABBR |
Harrison County, WV |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
5402 |
| CMN_CONG_DIST_NM |
West Virginia District 02 |
| CMN_ZIP_CD |
26330 |
| CMN_CITY_NUM |
Bridgeport, 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. |