Adventist Health Clearlake Hospital Inc.

NPI #1962492876 in Kelseyville, California

Provider Information

NPI Number
1962492876
Entity Type
Organization
Organization Name
Adventist Health Clearlake Hospital Inc.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Oct 24, 2005
Last Updated
Sep 15, 2025

Practice Location

Address
5290 STATE ST
ZIP Code
95451-9450
Phone
(707) 279-8813

Authorized Official

Name
PARKER J PRIDGEN
Title
PRESIDENT
Phone
(707) 467-5200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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