Organization
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Active
Other names
Adventist Health Clear Lake
Organization subpart
No
Provider details
NPI number
Authorized official
PARKER J PRIDGEN (PRESIDENT)
(707) 467-5200
Entity
Organization
Contact information
Practice address
18990 COYOTE VALLEY RD, HIDDEN VALLEY LAKE, CA 95467-8337
(707) 987-8344
Mailing address
PO BOX 888837, LOS ANGELES, CA 90088-8837
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
110000174
CA
Other
Enumeration date
08/14/2015
Last updated
09/15/2025
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