Table # Values
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