Table # Values
licensed_healthcare_facility_listing 14 period: 2016-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2017-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2018-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2019-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2020-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2021-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2022-12-31
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2017-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2018-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2019-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 MAIN ST
dba_city: TULELAKE
dba_zip_code: 96134
county_code: 47
county_name: SISKIYOU
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2020-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2021-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2022-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000

period: 2023-06-30
oshpd_id: 306472345
facility_name: TULELAKE HEALTH CENTER
license_num: 230000063
facility_level_desc: Parent Facility
dba_address1: 498 Main St
dba_city: Tulelake
dba_zip_code: 96134
county_code: 47
county_name: Siskiyou
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1986-10-01
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 41.95506000
longitude: -121.47670000