| SHAPE |
Point |
| HCC_FCT_ID |
13435 |
| SITE_SOURCE_ID |
3AAD5466-EC9F-4CA8-A96A-B009EC9A4EFA |
| SITE_NM |
INTERIM HOUSE WEST |
| UDS_NUM |
03167C |
| SITE_PHONE_NUM |
215-871-0300 |
| SITE_URL |
www.phmc.org |
| TOT_OPER_HR_PER_WEEK |
37.5 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
18AD2816-59D0-4DE7-AC4D-CEA984345EC3 |
| GRANT_NUM |
H80CS00016 |
| GRANTEE_NM |
PUBLIC HEALTH MANAGEMENT CORP |
| 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 |
12482 |
| SITE_ADDRESS_SOURCE_ID |
E0F8FD5E-74D1-4C2F-8B9C-A2A48CC93F99 |
| SITE_ESR_SOURCE_ID |
5D90EC5F-99FB-49F4-AE4C-3451F6EEC305 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
4108 Parkside Ave |
| SITE_CITY |
Philadelphia |
| SITE_STATE_ABBR |
PA |
| SITE_ZIP_CD |
19104-1020 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| 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 |
3 |
| HCC_TYP_DESC |
Administrative/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 |
101 |
| COUNTY_NM |
Philadelphia |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Philadelphia County |
| STATE_COUNTY_FIPS_CD |
42101 |
| STATE_FIPS_CD |
42 |
| STATE_NM |
Pennsylvania |
| US_SENATE_NM1 |
John Fetterman |
| US_SENATE_NM2 |
David McCormick |
| REGION_CD |
03 |
| REGION_NM |
Region 3 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
03 |
| CONG_DIST_NM |
Pennsylvania District 03 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4203 |
| REPRESENTATIVE_NM |
Dwight Evans |
| REPRESENTATIVE_URL |
https://evans.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-003857 |
| 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 |
E0A11F23-69BD-44DD-8EF7-0CF7352EA72F |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
3 |
| STATE_ID |
39 |
| COUNTY_ID |
2296 |
| CONG_DIST_ID |
9229 |
| CMN_REGION_CD |
03 |
| CMN_REGION_NM |
Region 3 |
| CMN_STATE_NM |
Pennsylvania |
| CMN_STATE_ABBR |
PA |
| CMN_STATE_FIPS_CD |
42 |
| CMN_STATE_COUNTY_FIPS_CD |
42101 |
| CMN_COUNTY_NM_STATE_ABBR |
Philadelphia County, PA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4203 |
| CMN_CONG_DIST_NM |
Pennsylvania District 03 |
| CMN_ZIP_CD |
19104 |
| CMN_CITY_NUM |
Philadelphia, PA |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL, and Service Objects |
| 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. |