National Provider Identifier Database

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Rural Health


Contact Information

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
15322 LAKESHORE DRIVE
SUITE 101, 102 AND 201
CLEARLAKE, CA95422
Phone: 707-461-7986
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ADVENTIST HEALTH CLEARLAKE HOSPITAL INC

NPI Number 1477104099
Legal business name
LBN
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Authorized official PARKER PRIDGEN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/25/2019
Last updated 09/15/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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