| SHAPE |
Point |
| 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_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. |