institution
Adventist Health Clearlake Hospital Inc.
Critical Access Hospital in Clearlake, California
NPI 1124018031

Adventist Health Clearlake Hospital Inc. is a Critical Access Hospital based in Los Angeles, CA and is specialized in Critical Access. Adventist Health Clearlake Hospital Inc. practices in Clearlake, CA. The NPI Number for Adventist Health Clearlake Hospital Inc. is 1124018031 and holds a License No. 110000174 (California).

The current practice location address for Adventist Health Clearlake Hospital Inc. is 15630 18Th Ave, Clearlake, CA and can be reached out via phone at 707-994-6486 and via fax at 707-995-3631.

Location: 15630 18Th Ave, Clearlake, CA, 90088-8837
institution
Provider Profile Details
NPI Number
1124018031
Provider Name
Adventist Health Clearlake Hospital Inc.
Credential
Provider Entity Type
Organization
Address
15630 18Th Ave, Clearlake, CA, 90088-8837
Phone Number
707-994-6486
Fax Number
707-995-3631
Provider Enumeration Date
10/24/2005
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSP40539G 05 CA
ZZR00539G 05 CA
ZZZC1702Z 01 CA BLUE SHIELD INPATIENT
institution
Provider Business Practice Location Address Details
Address
15630 18Th Ave
City
State
Zip
95422-6710
Phone Number
707-994-6486
Fax Number
707-995-3631
person
Provider Business Mailing Address Details
Address
15630 18Th Ave
City
State
Zip
95422-6710
Phone Number
707-994-6486
Fax Number
707-995-3631
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
License No.
110000174 (California)
Definition
Definition to come.
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