Organization · Type 2 NPI
Adventist Health Clearlake Hospital Inc
Rural Health Clinic/Center · Clearlake, CA
NPI number
1477104099
Active
Practice location
15322 Lakeshore Drive, Suite 101, 102 And 201
Clearlake, CA 95422
Mailing address
PO Box 888837
Los Angeles, CA 90088-8837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Clearlake
About NPI 1477104099
Adventist Health Clearlake Hospital Inc's National Provider Identifier is 1477104099, issued on Sep 25, 2019. 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.