Table # Values
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68129290
longitude: -122.37039840

period: 2016-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2017-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2018-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2019-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2020-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2021-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2022-12-31
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2017-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2018-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2019-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 FRONT ST
dba_city: SHASTA LAKE
dba_zip_code: 96019
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2020-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2021-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2022-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000

period: 2023-06-30
oshpd_id: 306454041
facility_name: SHASTA LAKE CITY FAMILY HEALTH CENTER
license_num: 230000325
facility_level_desc: Parent Facility
dba_address1: 4215 Front St
dba_city: Shasta Lake
dba_zip_code: 96019
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2000-11-17
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 40.68110000
longitude: -122.37041000