Organization · Type 2 NPI

Adventist Health Clearlake Hospital Inc.

Critical Access Hospital · Clearlake, CA

NPI number 1124018031 Active

Practice location

15630 18th Ave
Clearlake, CA 95422-6710

Fax (707) 995-3631

Mailing address

PO Box 888837
Los Angeles, CA 90088-8837

Specialties and licenses

TaxonomyCodeLicense
Critical Access Hospital Primary 282NC0060X110000174 (CA)

Critical Access Hospital: Definition to come.

25 other providers at this address

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About NPI 1124018031

Adventist Health Clearlake Hospital Inc.'s National Provider Identifier is 1124018031, issued on Oct 24, 2005. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Clearlake, CA. The record was last updated on Sep 15, 2025.