Organization · Type 2 NPI
Adventist Health Clearlake Hospital Inc.
Rural Health Clinic/Center · Middletown, CA
NPI number
1972593788
Active
Practice location
21337 Bush St
Middletown, CA 95461
Fax (707) 987-2455
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 1972593788
Adventist Health Clearlake Hospital Inc.'s National Provider Identifier is 1972593788, issued on Oct 24, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Middletown, CA. The record was last updated on Sep 15, 2025.