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Adventist Health Clearlake Hospital Inc. — NPI 1124018031, Clearlake, CA | NPI Central

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NPI 1124018031

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Adventist Health Clearlake Hospital Inc.

NPI 1124018031 · Critical Access Hospital · Clearlake, CA

Provider details

NPI number: 1124018031
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Authorized official: Parker Pridgen, President
License: 110000174 (CA)

Practice location

15630 18th Ave

Clearlake, CA 95422-6710

Phone: (707) 994-6486

Fax: (707) 995-3631

More CA providers

Mailing address

Po Box 888837

Los Angeles, CA 90088-8837

Registry dates

Enumerated: 2005-10-24
Last updated: 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.