OBJECTID: 850
HCC_FCT_ID: 4143
SITE_SOURCE_ID: E902EE72-C013-48CE-953F-37DC635672D6
SITE_NM: Aza Health Mobile Medical
UDS_NUM:
SITE_PHONE_NUM: 386-328-0108
SITE_URL: www.azahealth.org
TOT_OPER_HR_PER_WEEK: 8
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 85E18AD7-6614-477F-9162-7BCD7C2368F9
GRANT_NUM: H80CS00081
GRANTEE_NM: RURAL HEALTH CARE, INCORPORATED
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: Y
CH_SUB_PROG_IND: Y
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: N
HCH_SUB_PROG_IND: N
SITE_ADDRESS_ID: 11523
SITE_ADDRESS_SOURCE_ID: E46A0E73-A766-4B47-BCFE-9A871AF8FCDE
SITE_ESR_SOURCE_ID: BAB4D022-8693-4C4B-BE5B-757F7AC08223
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 146 Comfort Rd
SITE_CITY: Palatka
SITE_STATE_ABBR: FL
SITE_ZIP_CD: 32177-8636
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: 107
COUNTY_NM: Putnam
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Putnam County
STATE_COUNTY_FIPS_CD: 12107
STATE_FIPS_CD: 12
STATE_NM: Florida
US_SENATE_NM1: Rick Scott
US_SENATE_NM2: Ashley Moody
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 06
CONG_DIST_NM: Florida District 06
STATE_FIPS_CD_CONG_DIST_NUM: 1206
REPRESENTATIVE_NM: Randy Fine
REPRESENTATIVE_URL: https://fine.house.gov/
BPHC_SITE_NUM: BPS-H80-037611
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: E778F4B9-B30E-4709-91E1-6A066F8E415A
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 10
COUNTY_ID: 374
CONG_DIST_ID: 9000
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Florida
CMN_STATE_ABBR: FL
CMN_STATE_FIPS_CD: 12
CMN_STATE_COUNTY_FIPS_CD: 12107
CMN_COUNTY_NM_STATE_ABBR: Putnam County, FL
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 1206
CMN_CONG_DIST_NM: Florida District 06
CMN_ZIP_CD: 32177
CMN_CITY_NUM: Palatka, FL
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_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.
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.
Point:
X: -81.65662839199996
Y: 29.676557011000057


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