Organization · Type 2 NPI

Adventist Health Clearlake Hospital Inc.

Rural Health Clinic/Center · Clearlake, CA

NPI number 1316937121 Active

Practice location

15230 Lakeshore Drive
Clearlake, CA 95422-6710

Fax (707) 995-2401

Mailing address

PO Box 888837
Los Angeles, CA 90088-8837

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300X110000174 (CA)

Rural Health Clinic/Center: Definition to come...

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About NPI 1316937121

Adventist Health Clearlake Hospital Inc.'s National Provider Identifier is 1316937121, issued on Oct 24, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clearlake, CA. The record was last updated on Sep 15, 2025.