institution
Adventist Health Clearlake Hospital Inc.
Rural Health Clinic/Center in Kelseyville, California
NPI 1962492876

Adventist Health Clearlake Hospital Inc. is a Rural Health Clinic/Center based in Los Angeles, CA and is specialized in Rural Health. Adventist Health Clearlake Hospital Inc. practices in Kelseyville, CA. The NPI Number for Adventist Health Clearlake Hospital Inc. is 1962492876 and holds a License No. 110000174 (California).

The current practice location address for Adventist Health Clearlake Hospital Inc. is 5290 State St, Kelseyville, CA and can be reached out via phone at 707-279-8813 and via fax at 707-279-2241.

Location: 5290 State St, Kelseyville, CA, 90088-8837
institution
Provider Profile Details
NPI Number
1962492876
Provider Name
Adventist Health Clearlake Hospital Inc.
Credential
Provider Entity Type
Organization
Address
5290 State St, Kelseyville, CA, 90088-8837
Phone Number
707-279-8813
Fax Number
707-279-2241
Provider Enumeration Date
10/24/2005
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ49286Z 01 CA BLUE SHIELD
RHM19999G 05 CA
institution
Provider Business Practice Location Address Details
Address
5290 State St
City
State
Zip
95451-9450
Phone Number
707-279-8813
Fax Number
707-279-2241
person
Provider Business Mailing Address Details
Address
5290 State St
City
State
Zip
95451-9450
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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