Table # Values
licensed_facility_listing_01 1 oshpd_id: 306494088
perm_id:
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Chronic Dialysis Clinic
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51747610
longitude: -122.79161030

licensed_facility_listing_02 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 02/03/2003
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
longitude: -122.79231
latitude: 38.5159

licensed_facility_listing_03 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2/3/2003
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.5159
longitude: -122.79231

licensed_facility_listing_04 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_05 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_06 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_07 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_08 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_09 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51747610
longitude: -122.79161030

licensed_facility_listing_10 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51747610
longitude: -122.79161030

licensed_facility_listing_11 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_12 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_13 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_14 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_15 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_16 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_17 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

licensed_facility_listing_18 1 oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51747610
longitude: -122.79161030

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51747610
longitude: -122.79161030

period: 2016-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2017-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2018-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2019-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2020-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2021-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2022-12-31
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2017-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2018-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2019-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 AVIATION BLVD
dba_city: SANTA ROSA
dba_zip_code: 95403
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2020-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2021-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2022-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000

period: 2023-06-30
oshpd_id: 306494088
facility_name: FMC DIALYSIS SERVICES OF SANTA ROSA NORTH
license_num: 110000504
facility_level_desc: Parent Facility
dba_address1: 487 Aviation Blvd
dba_city: Santa Rosa
dba_zip_code: 95403
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2003-02-03
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.51590000
longitude: -122.79231000