Table # Values
licensed_healthcare_facility_listing 12 period: 2017-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N MCDOWELL BLVD
dba_city: PETALUMA
dba_zip_code: 94954
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2018-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N MCDOWELL BLVD
dba_city: PETALUMA
dba_zip_code: 94954
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2019-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N MCDOWELL BLVD
dba_city: PETALUMA
dba_zip_code: 94954
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2020-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2021-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2022-12-31
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2018-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N MCDOWELL BLVD
dba_city: PETALUMA
dba_zip_code: 94954
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2019-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N MCDOWELL BLVD
dba_city: PETALUMA
dba_zip_code: 94954
county_code: 49
county_name: SONOMA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2020-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2021-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2022-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000

period: 2023-06-30
oshpd_id: 306494139
facility_name: PETALUMA RIVER DIALYSIS
license_num: 550003984
facility_level_desc: Parent Facility
dba_address1: 417 N McDowell Blvd
dba_city: Petaluma
dba_zip_code: 94954
county_code: 49
county_name: Sonoma
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-09-21
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 38.25432000
longitude: -122.63525000