# ADVENTIST HEALTH CLEARLAKE HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Health Clear Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477104099
- **Authorized official:** PARKER J PRIDGEN (PRESIDENT)
- **Authorized official phone:** (707) 467-5200

## Contact information

- **Practice address:** 15322 LAKESHORE DRIVE, SUITE 101, 102 AND 201, CLEARLAKE, CA 95422
- **Practice address phone:** (707) 461-7986
- **Mailing address:** PO BOX 888837, LOS ANGELES, CA 90088-8837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 09/15/2025