Table # Values
licensed_facility_listing_04 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_05 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_06 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_07 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_08 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_09 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37181920
longitude: -120.80112010

licensed_facility_listing_12 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_13 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_14 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_15 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_16 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_17 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

licensed_facility_listing_18 1 oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: MARTELL
dba_zip_code: 95654
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 11 period: 2018-12-31
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2019-12-31
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2020-12-31
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2021-12-31
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2022-12-31
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2018-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2019-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 PROSPECT DR
dba_city: JACKSON
dba_zip_code: 95642
county_code: 03
county_name: AMADOR
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2020-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2021-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2022-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000

period: 2023-06-30
oshpd_id: 306030896
facility_name: WELLSPACE HEALTH AMADOR COMMUNITY HEALTH CENTER
license_num: 550004068
facility_level_desc: Parent Facility
dba_address1: 11333 Prospect Dr
dba_city: Jackson
dba_zip_code: 95642
county_code: 03
county_name: Amador
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-12-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.37161000
longitude: -120.80049000