institution
Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen
Rural Health Clinic/Center in Clearlake, California
NPI 1942486642

Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen is a Rural Health Clinic/Center based in Clearlake, CA and is specialized in Rural Health. Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen practices in Clearlake, CA. The NPI Number for Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen is 1942486642 and holds a License No. 110000174 (California).

The current practice location address for Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen is 18Th Ave And Highway 53, Clearlake, CA and can be reached out via phone at 707-279-8813 and via fax at 707-279-2241.

Location: 18Th Ave And Highway 53, Clearlake, CA, 95422-6710
institution
Provider Profile Details
NPI Number
1942486642
Provider Name
Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen
Credential
Provider Entity Type
Organization
Address
18Th Ave And Highway 53, Clearlake, CA, 95422-6710
Phone Number
707-279-8813
Fax Number
707-279-2241
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP19999G 05 CA
institution
Provider Business Practice Location Address Details
Address
18Th Ave And Highway 53
City
State
Zip
95422-6710
Phone Number
707-279-8813
Fax Number
707-279-2241
person
Provider Business Mailing Address Details
Address
18Th Ave And Highway 53
City
State
Zip
95422-6710
Phone Number
707-279-8813
Fax Number
707-279-2241
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
110000174 (California)
Definition
Definition to come...
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