Table # Values
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20789250
longitude: -120.69913710

period: 2016-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2017-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 5
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2018-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2019-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2020-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2021-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2022-12-31
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2017-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2018-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2019-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 HWY 49
dba_city: SAN ANDREAS
dba_zip_code: 95249
county_code: 05
county_name: CALAVERAS
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2020-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2021-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2022-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000

period: 2023-06-30
oshpd_id: 306054013
facility_name: MACT MEDICAL CLINIC SAN ANDREAS
license_num: 550000678
facility_level_desc: Parent Facility
dba_address1: 1113 Highway 49
dba_city: San Andreas
dba_zip_code: 95249
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2012-11-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.20821000
longitude: -120.69723000