Adventist Health Clearlake Hospital INC
NPI #1477104099 in Clearlake, California
Provider Information
- NPI Number
- 1477104099
- Entity Type
- Organization
- Organization Name
- Adventist Health Clearlake Hospital INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 25, 2019
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 15322 LAKESHORE DRIVE
- Address 2
- SUITE 101, 102 AND 201
- City
- Clearlake
- State
- California
- ZIP Code
- 95422
- Phone
- (707) 461-7986
Authorized Official
- Name
- PARKER J PRIDGEN
- Title
- PRESIDENT
- Phone
- (707) 467-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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