Adventist Health Clearlake Hospital Inc.
NPI 1124018031 · Critical Access Hospital · Clearlake, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adventist Health Clearlake Hospital Inc. is a Critical Access Hospital organization in Clearlake, CA (NPI 1124018031).
Provider details
- NPI number
- 1124018031
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Parker Pridgen, President(707) 467-5200
- License
- 110000174 (CA)
Specialties & taxonomies
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Adventist Health Clear Lake
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Adventist Health Clearlake Hospital Inc.'s NPI number?
- Adventist Health Clearlake Hospital Inc.'s National Provider Identifier (NPI) is 1124018031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adventist Health Clearlake Hospital Inc.?
- Adventist Health Clearlake Hospital Inc. is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Adventist Health Clearlake Hospital Inc. located?
- Adventist Health Clearlake Hospital Inc.'s practice location on file with NPPES is 15630 18th Ave, Clearlake, CA 95422-6710.
- What is Adventist Health Clearlake Hospital Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Adventist Health Clearlake Hospital Inc. is (707) 994-6486.
- Does Adventist Health Clearlake Hospital Inc. accept Medicare?
- Adventist Health Clearlake Hospital Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Adventist Health Clearlake Hospital Inc.?
- The authorized official listed on Adventist Health Clearlake Hospital Inc.'s NPPES record is Parker Pridgen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adventist Health Clearlake Hospital Inc.'s NPI active?
- Yes — Adventist Health Clearlake Hospital Inc.'s NPI (1124018031) is active in the NPPES registry as of the last update on 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.