Organization · Type 2 NPI
Adventist Health Clearlake Hospital Inc.
Rural Health Clinic/Center · Kelseyville, CA
NPI number
1962492876
Active
Practice location
5290 State St
Kelseyville, CA 95451-9450
Fax (707) 279-2241
Mailing address
PO Box 888837
Los Angeles, CA 90088-8837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 110000174 (CA) |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1962492876
Adventist Health Clearlake Hospital Inc.'s National Provider Identifier is 1962492876, issued on Oct 24, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Kelseyville, CA. The record was last updated on Sep 15, 2025.