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Adventist Health Clearlake Hospital Inc — NPI 1417027095, Lakeport, CA | NPI Central

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NPI 1417027095

OrganizationActive

Adventist Health Clearlake Hospital Inc

NPI 1417027095 · Rural Health Clinic/Center · Lakeport, CA

Provider details

NPI number: 1417027095
Entity type: Organization
Primary specialty: Rural Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Parker Pridgen, President(707) 467-5200

Specialties & taxonomies

Rural Health Clinic/CenterPrimary261QR1300X
Ambulatory Health Care Facilities

Practice location

487 S Main St

Lakeport, CA 95453-5315

Phone: (707) 263-4631

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 888837

Los Angeles, CA 90088-8837

Other names (DBA / former)

Doing business as: Adventist Health Clear Lake

Registry dates

Enumerated: 2006-11-09
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.