ADVENTIST HEALTH CLEARLAKE HOSPITAL INC (NPI# 1609222512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609222512 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC |
| Other Organization Name | ST. HELENA FAMILY HEALTH CENTER WILLIAMS |
| Practice Address |
501 E St Williams CA 95987-5810 |
| Mailing Address |
Po Box 6710 Clearlake CA 95422-6710 |
| Practice Telephone | 5304735641 |
| Mailing Telephone | 7079955820 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | DAVID SANTOS (CEO) |
| Authorized Official Telephone | 7079955820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
110000174 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Helena Family Health Center Williams | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417027095 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 487 S Main St, Lakeport, CA 95453-5315 | 2006-11-09 |
| 1477104099 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 15322 Lakeshore Drive, Suite 101, 102 and 201, Clearlake, CA 95422 | 2019-09-25 |
| 1508212424 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2016-05-10 |
| 1558737486 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 18990 Coyote Valley Rd, Hidden Valley Lake, CA 95467-8337 | 2015-08-14 |
| Street Address |
501 E ST |
| City | WILLIAMS |
| State | CA |
| Zip Code | 95987-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477907038 | Adventist Health Physicians Network | Pediatrics | 501 E St, Suite B, Williams, CA 95987-5810 | 2016-04-20 |
| 1396246633 | Colusa Medical Center, LLC | Clinic/Center | 501 E St, Williams, CA 95987-5810 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697673 | Jazmin Lee Leos | Behavior Technician | 210 10th Street, Williams, CA 95987 | 2020-10-22 |
| 1477974202 | Jared D Garrison Do Inc | Family Medicine | 1224 E St, Williams, CA 95987 | 2013-12-20 |
| 1144464561 | Chapa-de Indian Health Program | Clinic/Center | 632 6th Street, Williams, CA 95987 | 2009-04-29 |
| 1366644593 | Jean Jordan Wade Kunst | Marriage & Family Therapist | 936 G Street, Parkside First United Methodist Church, Williams, CA 95987 | 2007-06-01 |
| 1639281306 | Charles E Mccarl Md | General Practice | 969 E Street, Williams, CA 95987-0009 | 2006-08-31 |
| 1659432144 | Charles Edwin Mccarl | General Practice | 969 E Street, Williams, CA 95987-0009 | 2006-12-12 |
| 1578662466 | Fouch & Son Pharmacy | Pharmacy | 692 E Street, Williams, CA 95987-0039 | 2006-09-21 |
| 1265508915 | Julia Rose Davison | Pharmacist | 692 E Street, Williams, CA 95987-0039 | 2006-11-27 |
| 1235260498 | Wayne Wilson | Dentist | 977 E St., Williams, CA 95987-0099 | 2007-03-08 |
| 1780685461 | Valley West Health Care, Inc | Skilled Nursing Facility | 1224 E Street, Williams, CA 95987-1059 | 2005-08-03 |
| Find all providers in zip 95987 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396246633 | Colusa Medical Center, LLC | Clinic/Center | 501 E St, Williams, CA 95987-5810 | 2018-02-22 |
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|---|---|---|---|---|
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| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
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| 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 | ||||
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| 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.