Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Other names
St. Helena Family Practice Clearlake
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE A DONNELLY (CREDENTIALING COORDINATOR)
(707) 968-2809
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DR, SUITE 201, CLEARLAKE, CA 95422-9814
(707) 994-2920
(707) 994-2917
Mailing address
1572 RAILROAD AVE, SUITE 2, SAINT HELENA, CA 94574-1169
(707) 968-2809
(707) 963-9185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G45994
CA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up