OBJECTID: 899
HCC_FCT_ID: 11398
SITE_SOURCE_ID: 08F43A97-6D51-419F-AC2E-99A06962A416
SITE_NM: JACKSON-HINDS TOUGALOO CLINIC
UDS_NUM: 04075M
SITE_PHONE_NUM: 601-948-4395
SITE_URL: www.jackson-hinds.com
TOT_OPER_HR_PER_WEEK: 12
HCC_GRANTEE_ID:
GRANTEE_SOURCE_ID: 4D3D7BE3-D3C1-43A0-845C-C245843F0EF7
GRANT_NUM: H80CS00084
GRANTEE_NM: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC
GRANTEE_ORG_DESC: Corporate Entity, Federal Tax Exempt
MHC_SUB_PROG_IND: N
CH_SUB_PROG_IND: Y
SBHC_SUB_PROG_IND: N
PHPC_SUB_PROG_IND: N
HCH_SUB_PROG_IND: Y
SITE_ADDRESS_ID: 4233
SITE_ADDRESS_SOURCE_ID: 60102D38-2294-4AF1-939C-384C2E092666
SITE_ESR_SOURCE_ID: 2B0F23A2-3038-42D6-82EF-B6D206D05002
SITE_DATA_SOURCE: ESR_SCP
SITE_ADDRESS: 500 W Countyline Rd
SITE_CITY: Jackson
SITE_STATE_ABBR: MS
SITE_ZIP_CD: 39213
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: 2
HCC_OPER_SCHD_DESC: Part-Time
HCC_CLND_SCHD_ID: 1
HCC_CLND_SCHD_DIM_DESC: Year-Round
COUNTY_FIPS_CD: 089
COUNTY_NM: Madison
COUNTY_DESC: County
LIST_BOX_COUNTY_NM: Madison County
STATE_COUNTY_FIPS_CD: 28089
STATE_FIPS_CD: 28
STATE_NM: Mississippi
US_SENATE_NM1: Roger F. Wicker
US_SENATE_NM2: Cindy Hyde-Smith
REGION_CD: 04
REGION_NM: Region 4
US_MEXICO_BORDER_COUNTY_IND: N
CONG_DIST_NUM: 02
CONG_DIST_NM: Mississippi District 02
STATE_FIPS_CD_CONG_DIST_NUM: 2802
REPRESENTATIVE_NM: Bennie G. Thompson
REPRESENTATIVE_URL: https://benniethompson.house.gov/
BPHC_SITE_NUM: BPS-H80-006785
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: 35BCC4B7-E8E9-411B-A542-8F628354B8D2
ADMIN_PHONE_NUM:
SITE_FAX_NUM:
REGION_ID: 4
STATE_ID: 25
COUNTY_ID: 1446
CONG_DIST_ID: 9127
CMN_REGION_CD: 04
CMN_REGION_NM: Region 4
CMN_STATE_NM: Mississippi
CMN_STATE_ABBR: MS
CMN_STATE_FIPS_CD: 28
CMN_STATE_COUNTY_FIPS_CD: 28089
CMN_COUNTY_NM_STATE_ABBR: Madison County, MS
CMN_CONG_NUM: 119
CMN_STATE_FIPS_CONG_DIST_NUM: 2802
CMN_CONG_DIST_NM: Mississippi District 02
CMN_ZIP_CD: 39213
CMN_CITY_NUM: Jackson, MS
LOC_NAME: 02-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: -90.16172988499994
Y: 32.405456643000036


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