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NPI 1487897047

OrganizationActive

Adventist Health Clearlake Hospital Inc.

NPI 1487897047 · Critical Access Hospital · Clearlake, CA

Provider details

NPI number: 1487897047
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Authorized official: Parker Pridgen, President
License: 110000174 (CA)

Practice location

15630 18th Ave

Clearlake, CA 95422

Phone: (707) 994-6486

Fax: (707) 995-1407

More CA providers

Mailing address

Po Box 6710

Clearlake, CA 95422-6710

Registry dates

Enumerated: 2009-04-13
Last updated: 2025-09-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adventist Health Clearlake Hospital Inc. — NPI 1487897047, Clearlake, CA | NPI Central