Table # Values
licensed_facility_listing_01 1 oshpd_id: 306234037
perm_id:
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Community Clinic
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43199150
longitude: -123.79895780

licensed_facility_listing_02 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 05/16/2011
license_type_desc: Clinic
license_category_desc: Community Clinic
longitude: -123.79873
latitude: 39.4326

licensed_facility_listing_03 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 5/16/2011
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.4326
longitude: -123.79873

licensed_facility_listing_04 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_05 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_06 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_07 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_08 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_09 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43199810
longitude: -123.79888280

licensed_facility_listing_10 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43199150
longitude: -123.79895780

licensed_facility_listing_11 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2011-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_12 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_13 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_14 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_15 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_16 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_17 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

licensed_facility_listing_18 1 oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43199810
longitude: -123.79888280

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43199150
longitude: -123.79895780

period: 2016-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2017-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2018-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2019-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2020-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2021-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2022-12-31
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2017-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2018-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2019-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510-D CYPRESS ST
dba_city: FORT BRAGG
dba_zip_code: 95437
county_code: 23
county_name: MENDOCINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2020-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2021-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2022-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000

period: 2023-06-30
oshpd_id: 306234037
facility_name: MENDOCINO COAST CLINICS PEDIATRIC GROUP
license_num: 550001569
facility_level_desc: Parent Facility
dba_address1: 510 Cypress St
dba_city: Fort Bragg
dba_zip_code: 95437
county_code: 23
county_name: Mendocino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-05-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 39.43260000
longitude: -123.79873000