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
801 11TH ST, LAKEPORT, CA 95453-4100
(707) 263-3746
Mailing address
PO BOX 888837, LOS ANGELES, CA 90088-8837
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
09/15/2025
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