Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adventist Health Clearlake Hospital Inc

Organization Rural Health Clinic/Center · NPI 1417027095

Adventist Health Clearlake Hospital Inc is a Rural Health Clinic/Center in Lakeport, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

487 S Main St
Lakeport, CA 95453-5315
Phone: (707) 263-4631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1417027095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parker Pridgen — President · (707) 467-5200
Other names Adventist Health Clear Lake
NPI enumeratedNovember 9, 2006
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing addressPo Box 888837, Los Angeles, CA 90088-8837

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