Table # Values
licensed_facility_listing_01 1 oshpd_id: 306174015
perm_id:
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Community Clinic
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03429740
longitude: -122.91900290

licensed_facility_listing_02 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 04/23/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
longitude: -122.91816
latitude: 39.03461

licensed_facility_listing_03 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 4/23/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461
longitude: -122.91816

licensed_facility_listing_04 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_05 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_06 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_07 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_08 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_09 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03431850
longitude: -122.91906900

licensed_facility_listing_10 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03429740
longitude: -122.91900290

licensed_facility_listing_11 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_12 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_13 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_14 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_15 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_16 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_17 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

licensed_facility_listing_18 1 oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03429740
longitude: -122.91900290

period: 2016-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2017-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2018-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2019-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2020-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2021-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2022-12-31
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2017-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2018-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2019-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 LAKEPORT BLVD
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2020-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2021-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2022-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000

period: 2023-06-30
oshpd_id: 306174015
facility_name: TRIBAL HEALTH PEDIATRICS AND OBSTETRICS
license_num: 550003047
facility_level_desc: Parent Facility
dba_address1: 359 Lakeport Blvd
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: 2015-04-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.03461000
longitude: -122.91816000