OrganizationActive
Adventist Health Clearlake Hospital, Inc
NPI 1093274508 · Rural Health Clinic/Center · Lucerne, CA
Provider details
- NPI number
- 1093274508
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Parker Pridgen, President(707) 456-3010
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6300 E. Highway 20
Lucerne, CA 95458
Phone: (707) 274-9299
Street-level locationGet directions
Mailing address
Po Box 888837
Los Angeles, CA 90088-8837
Other names (DBA / former)
- Doing business as
- Adventist Health Clear Lake
Registry dates
- Enumerated
- 2019-03-14
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.