Table # Values
licensed_facility_listing_01 1 oshpd_id: 306120530
perm_id:
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Community Clinic
dba_address1: 3200 NEWBURG RD
dba_city: FORTUNA
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59437080
longitude: -124.13239960

licensed_facility_listing_06 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_07 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_08 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_09 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59436080
longitude: -124.13244250

licensed_facility_listing_10 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 NEWBURG RD
dba_city: FORTUNA
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59437080
longitude: -124.13239960

licensed_facility_listing_15 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_16 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_17 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

licensed_facility_listing_18 1 oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 NEWBURG RD
dba_city: FORTUNA
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 7 period: current
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 NEWBURG RD
dba_city: FORTUNA
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59437080
longitude: -124.13239960

period: 2020-12-31
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

period: 2021-12-31
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

period: 2022-12-31
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

period: 2021-06-30
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

period: 2022-06-30
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000

period: 2023-06-30
oshpd_id: 306120530
facility_name: REDWOOD COAST PACE - FORTUNA
license_num: 550005298
facility_level_desc: Parent Facility
dba_address1: 3200 Newburg Rd
dba_city: Fortuna
dba_zip_code: 95540
county_code: 12
county_name: Humboldt
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-02-20
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.59519000
longitude: -124.13321000