Table # Values
licensed_facility_listing_02 1 oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 01/22/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
longitude: -117.31366
latitude: 34.03592

licensed_facility_listing_03 1 oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1/22/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.03592
longitude: -117.31366

licensed_facility_listing_11 1 oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-01-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.03592000
longitude: -117.31366000

licensed_healthcare_facility_listing 3 period: 2016-12-31
oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-01-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.03592000
longitude: -117.31366000

period: 2017-12-31
oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-01-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.03592000
longitude: -117.31366000

period: 2017-06-30
oshpd_id: 306364522
facility_name: SAN MANUEL INDIAN HEALTH CLINIC
license_num: 240000751
facility_level_desc: Parent Facility
dba_address1: 11980 MT VERNON AVE
dba_city: GRAND TERRACE
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-01-22
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.03592000
longitude: -117.31366000