# 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:** 1972593788
- **Authorized official:** PARKER J PRIDGEN (PRESIDENT)
- **Authorized official phone:** (707) 467-5200

## Contact information

- **Practice address:** 21337 BUSH ST, MIDDLETOWN, CA 95461
- **Practice address phone:** (707) 987-3311
- **Practice address fax:** (707) 987-2455
- **Mailing address:** PO BOX 888837, LOS ANGELES, CA 90088-8837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 110000174 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 09/15/2025