Table # Values
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02367640
longitude: -121.42400810

period: 2016-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2017-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2018-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2019-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2020-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2021-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2022-12-31
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2017-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2018-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2019-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 STATE HIGHWAY 299 EAST
dba_city: FALL RIVER MILLS
dba_zip_code: 96028
county_code: 45
county_name: SHASTA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2020-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2021-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2022-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000

period: 2023-06-30
oshpd_id: 406454069
facility_name: INTERMOUNTAIN HOSPICE
license_num: 550002879
facility_level_desc: Parent Facility
dba_address1: 43563 State Highway 299 E
dba_city: Fall River Mills
dba_zip_code: 96028
county_code: 45
county_name: Shasta
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-11-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 41.02423000
longitude: -121.42442000