ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.


Address: 15230 Lakeshore Drive, Clearlake, CA 95422-6710
Phone: 7079954500

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. (NPI# 1316937121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316937121
Entity Type Organization
Organization Name ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
Other Organization Name ST. HELENA FAMILY HEALTH CENTER CLEARLAKE
Practice Address 15230 Lakeshore Drive
Clearlake
CA 95422-6710
Mailing Address Po Box 6710
Clearlake
CA 95422-6710
Practice Telephone 7079954500
Practice Fax Number 7079952401
Mailing Telephone 7079954500
Mailing Fax Number 7079952401
Enumeration Date 2005-10-24
Last Update Date 2012-04-26
Authorized Official Name MR. CARLTON JACOBSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7079955820
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
110000174 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA RHM18533G 05

Other Provider/Organization Names

Other Name Type Code
St. Helena Family Health Center Clearlake Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972593788 Adventist Health Clearlake Hospital Inc. Clinic/Center 21337 Bush St, Middletown, CA 95461 2005-10-24
1962492876 Adventist Health Clearlake Hospital Inc. Clinic/Center 5290 State St, Kelseyville, CA 95451-9450 2005-10-24
1124018031 Adventist Health Clearlake Hospital Inc. General Acute Care Hospital 15630 18th Ave, Clearlake, CA 95422-6710 2005-10-24
1285054106 Adventist Health Clearlake Hospital Inc. Clinic/Center 155 Solano St, Corning, CA 96021-3511 2014-04-17
1487897047 Adventist Health Clearlake Hospital Inc. General Acute Care Hospital 15630 18th Ave, Clearlake, CA 95422 2009-04-13
1912092792 Adventist Health Clearlake Hospital Inc. Clinic/Center 5125 Skyway, Paradise, CA 95969-5624 2006-10-04

Office Location

Street Address 15230 LAKESHORE DRIVE
City CLEARLAKE
State CA
Zip Code 95422-6710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982688222 Kc Grigsby Registered Nurse 15230 Lakeshore Drive, Clearlake, CA 95422 2005-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831729201 Richard Charles Hammond Counselor 7000 B South Center Drive, Clearlake, CA 95422 2020-01-24
1609416437 Junirose Thom Behavioral Analyst 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 2020-01-09
1649781360 Lake County Office of Education Local Education Agency (LEA) 3350 Acacia St, Clearlake, CA 95422 2017-10-20
1083091326 Noelle Menesini Physician Assistant 15230 Lake Shore Drive, Clearlake, CA 95422 2015-05-06
1861820979 Lake County Office of Education Local Education Agency (LEA) 6945 Old Highway 53, Clearlake, CA 95422 2013-10-29
1124469838 Hassan Sheikh Moghaddas Surgery 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 2013-07-10
1366710279 Nancy Bylund Licensed Psychiatric Technician 7000b South Center Drive, Clearlake, CA 95422 2011-12-06
1699060830 Planned Parenthood Shasta Pacific Clinic/Center 1437 Olympic Drive, Cleaklake, CA 95422 2011-06-16
1164655247 Hector Lara Counselor 14130 Lakeshore Dr., Clearlake, CA 95422 2009-08-24
1518197607 Vishal V Desai Pharmacist 15025, Olympic Drive, Clearlake, CA 95422 2009-07-23
Find all providers in zip 95422

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477104099 Adventist Health Clearlake Hospital Inc Clinic/Center 15322 Lakeshore Drive, Suite 101, 102 and 201, Clearlake, CA 95422 2019-09-25
1942486642 Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen Clinic/Center 18th Ave and Highway 53, Clearlake, CA 95422-6710 2008-01-14
1124204821 Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Clinic/Center 18th Ave and Highway 53, Clearlake, CA 95422-6710 2008-01-14
1841476447 Adventist Health Clearlake Hospital, Inc-clearlake Family Health Cente Clinic/Center 18th Ave and Highway 53, Clearlake, CA 95422-6710 2008-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699620 Reedley Community Hospital Clinic/Center 398 S Church Road, Earlimart, CA 93219 2020-11-06
1174130942 Kaweah Delta Health Care District Clinic/Center 1000 N Mooney Blvd, Tulare, CA 93274-2417 2020-09-25
1922614197 Sierra View Local Health Care District Clinic/Center 9520 Road 238, Terra Bella, CA 93270 2020-09-22
1124643598 Valley Healthcare Centers Clinic/Center 369 N Church Rd, Earlimart, CA 93219 2020-06-11
1477177210 Anand Narayan Md Inc Clinic/Center 317 W El Monte Way, Dinuba, CA 93618-1557 2020-06-06
1902435894 Slt Medical Group Inc Clinic/Center 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 2020-04-03
1881232676 Madera Community Hospital Clinic/Center 121 Belmont Ave., Suite 101, Mendota, CA 93640 2019-12-12
1790331817 Valley Healthcare Centers Clinic/Center 252 N Highway 65, Lindsay, CA 93247-2702 2019-08-14
1093274508 Adventist Health Clearlake Hospital, Inc Clinic/Center 6300 E. Highway 20, Lucerne, CA 95458 2019-03-14
1679038434 Ridgecrest Regional Hospital Clinic/Center 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 2019-02-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City CLEARLAKE
Zip Code 95422

Improve Information

Please comment or provide details below to improve the information on ADVENTIST HEALTH CLEARLAKE HOSPITAL INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches