Congressionally Directed Spending for Construction Projects - La Clinica De Los Campesinos, Inc., dba Noble Community Clinics (Noble Clinics), a Federally Qualified Health Center under Health Center Program grant number H80CS00713, has been serving the community since the 1960’s. Formerly doing business as Family Health La Clinica, Noble Clinics recently underwent an extensive name change process based on community feedback to continue to eliminate any barriers to care and provide the right care, the right way. Noble Clinics operates seven clinic locations in central Wisconsin, providing comprehensive primary medical, dental, behavioral health, and substance use recovery services, along with a 340b Pharmacy, support services, and health education. Additionally, Noble Clinics is the only Migrant Health Clinic in Wisconsin, serving migrant and seasonal agricultural workers statewide through a state-of-the-art forty-foot Mobile Health Center. Noble Community Clinic’s mission is to ensure access to high quality integrated healthcare and promote the well-being of their patients, staff, and communities. They believe in the right to quality healthcare services that are efficient, effective, and accessible, delivered with cultural competence and professional excellence. Noble Clinics provides care to all individuals, regardless of their ability to pay. With a dedicated team of 200 employees, FHLC serves over 22,000 patients annually through more than 64,000 visits. Noble Clinics is expanding healthcare services and working to improve health equity, healthcare access, and support economic growth with a newly renovated community health center serving the south-central region of Wisconsin, located in Beaver Dam. Noble Clinics has purchased a facility located at 1701 N. Spring Street, Beaver Dam, WI; a centralized, accessible location of appropriate size with ample parking. Temporary remodeling was performed in late 2023 and in early 2024 began providing medical and behavioral health services at this location. This two-phase project is already underway, and this funding is an integral part of the first phase remodeling 15,000 square feet of a 40,000 square foot facility. The project will result in the addition of twelve dental operatories, sterilization area, supply closets, registration area, waiting room, clinical office space, and administrative offices. This is the first phase of the total project and will utilize close to 40% of the available interior space. The second phase involving the other 60% will be performed two to three years later. This financial support will allow Noble Clinics, with their general contractor, to renovate the facility to add dental services alongside the medical, behavioral health currently operational at that site. Noble Clinics will respond to the significant unmet need for the proposed services, improving access for all with an emphasis on those who are most vulnerable. Expanding services has been planned since Noble Clinics opened a small safety-net dental clinic in Beaver Dam in late 2016. During renovations, Noble Clinics will recruit additional dental providers, support staff and others, providing additional employment opportunities in the region. This phase one expansion will allow Noble Clinics to continue their mission to ensure access to high quality integrated healthcare and promote the well-being of their patients, staff, and communities by providing care to an estimated additional 2,000 patients and provide nearly 6,000 new visits annually, essentially doubling the volume of the current dental site in this community and increasing access when the current dental site's waitlist is over 1,300 patients. Continually evaluating the needs of patients and community members throughout the service area of Noble Community Clinics demonstrates the commitment to addressing the health and wellbeing of Wisconsin’s rural communities through strategic expansion and integration of services to increase patient access through comprehensive approach.