| Table | # | Values |
|---|---|---|
| facility_profile_attributes | 1 |
facility_desc: LAKE COUNTY TRIBAL HEALTH CONSORTIUM site_address1: 925 BEVINS CT site_address2: None site_city: LAKEPORT site_zip: 95453 site_x_coordinate: -122.922344 site_y_coordinate: 39.037363 oshpd_id: 306174006 license_type_desc: Clinic license_category_desc: Community Clinic license_number: 110000289 facility_level_desc: Parent Facility er_service_level_desc: Not Specified licensed_beds: None facility_status_desc: Open financial_facility_count: 0 consolidated_facility_desc_pipe: None consolidated_facility_desc_comma: None period_begin_date: None period_end_date: None net_pat_rev_medicare_traditional_ip: None net_pat_rev_medicare_managed_ip: None net_pat_rev_medi_cal_traditional_ip: None net_pat_rev_medi_cal_managed_ip: None net_pat_rev_county_indigent_traditional_ip: None net_pat_rev_county_indigent_managed_ip: None net_pat_rev_third_party_traditional_ip: None net_pat_rev_third_party_managed_ip: None net_pat_rev_other_indigent_ip: None net_pat_rev_other_payer_ip: None net_pat_rev_total_ip: None net_pat_rev_medicare_traditional_op: None net_pat_rev_medicare_managed_op: None net_pat_rev_medi_cal_traditional_op: None net_pat_rev_medi_cal_managed_op: None net_pat_rev_county_indigent_traditional_op: None net_pat_rev_county_indigent_managed_op: None net_pat_rev_third_party_traditional_op: None net_pat_rev_third_party_managed_op: None net_pat_rev_other_indigent_op: None net_pat_rev_other_payer_op: None net_pat_rev_total_op: None payer_mix_medicare_traditional_ip: .000000000000 payer_mix_medicare_traditional_ip_state: None payer_mix_medicare_managed_ip: .000000000000 payer_mix_medicare_managed_ip_state: None payer_mix_medi_cal_traditional_ip: .000000000000 payer_mix_medi_cal_traditional_ip_state: None payer_mix_medi_cal_managed_ip: .000000000000 payer_mix_medi_cal_managed_ip_state: None payer_mix_county_indigent_traditional_ip: .000000000000 payer_mix_county_indigent_traditional_ip_state: None payer_mix_county_indigent_managed_ip: .000000000000 payer_mix_county_indigent_managed_ip_state: None payer_mix_third_party_traditional_ip: .000000000000 payer_mix_third_party_traditional_ip_state: None payer_mix_third_party_managed_ip: .000000000000 payer_mix_third_party_managed_ip_state: None payer_mix_other_indigent_ip: .000000000000 payer_mix_other_indigent_ip_state: None payer_mix_other_payer_ip: .000000000000 payer_mix_other_payer_ip_state: None payer_mix_medicare_traditional_op: .000000000000 payer_mix_medicare_traditional_op_state: None payer_mix_medicare_managed_op: .000000000000 payer_mix_medicare_managed_op_state: None payer_mix_medi_cal_traditional_op: .000000000000 payer_mix_medi_cal_traditional_op_state: None payer_mix_medi_cal_managed_op: .000000000000 payer_mix_medi_cal_managed_op_state: None payer_mix_county_indigent_traditional_op: .000000000000 payer_mix_county_indigent_traditional_op_state: None payer_mix_county_indigent_managed_op: .000000000000 payer_mix_county_indigent_managed_op_state: None payer_mix_third_party_traditional_op: .000000000000 payer_mix_third_party_traditional_op_state: None payer_mix_third_party_managed_op: .000000000000 payer_mix_third_party_managed_op_state: None payer_mix_other_indigent_op: .000000000000 payer_mix_other_indigent_op_state: None payer_mix_other_payer_op: .000000000000 payer_mix_other_payer_op_state: None avg_stay_medicare_traditional: None avg_stay_medicare_managed: None avg_stay_medi_cal_traditional: None avg_stay_medi_cal_managed: None avg_stay_county_indigent_traditional: None avg_stay_county_indigent_managed: None avg_stay_third_party_traditional: None avg_stay_third_party_managed: None avg_stay_other_indigent_total: None avg_stay_other_payer_total: None avg_stay_total: None active_projects: None active_project_costs: None active_projects_state: 4279 active_project_costs_state: 18558539344 spc_1: None spc_2: None spc_3: None spc_4: None spc_5: None spc_1_state: 33 spc_2_state: 655 spc_3_state: 385 spc_4_state: 781 spc_5_state: 1446 sysdate: None |
| licensed_facility_listing_01 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03736300 longitude: -122.92234400 |
| licensed_facility_listing_02 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 02/17/1995 license_type_desc: Clinic license_category_desc: Community Clinic longitude: -122.92209 latitude: 39.03771 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2/17/1995 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771 longitude: -122.92209 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03712190 longitude: -122.92173400 |
| licensed_facility_listing_10 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03736300 longitude: -122.92234400 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |
| licensed_facility_listing_18 | 1 |
oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 0.00000000 longitude: 0.00000000 |
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03736300 longitude: -122.92234400 period: 2016-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2017-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2018-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2019-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2020-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2021-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2022-12-31 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2017-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2018-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2019-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 BEVINS CT dba_city: LAKEPORT dba_zip_code: 95453 county_code: 17 county_name: LAKE er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2020-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2021-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2022-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 period: 2023-06-30 oshpd_id: 306174006 facility_name: LAKE COUNTY TRIBAL HEALTH CONSORTIUM license_num: 110000289 facility_level_desc: Parent Facility dba_address1: 925 Bevins Ct dba_city: Lakeport dba_zip_code: 95453 county_code: 17 county_name: Lake er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1995-02-17 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 39.03771000 longitude: -122.92209000 |