OrganizationActive
Adventist Health Clearlake Hospital Inc.
NPI 1316937121 · Rural Health Clinic/Center · Clearlake, CA
Provider details
- NPI number
- 1316937121
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Parker Pridgen, President(707) 467-5200
- License
- 110000174 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15230 Lakeshore Drive
Clearlake, CA 95422-6710
Phone: (707) 995-4500
Fax: (707) 995-2401
Approximate (ZIP-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
- 2005-10-24
- 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.