Adventist Health Clear Lake

LBN: Adventist Health Clearlake Hospital Inc
Adventist Health Clear Lake is an health care organization with primary practice located at 487 S Main St , Lakeport CA 95453-5315. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Adventist Health Clearlake Hospital Inc can be contacted via phone (707) 263-4631, or through Howe, Judson H.E. via phone (707) 456-3010.

Contact Information

Primary practice address
487 S Main St Lakeport CA 95453-5315
Phone: (707) 263-4631
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howe, Judson H.E.
Phone: (707) 456-3010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1417027095
LBN Legal business name Adventist Health Clearlake Hospital Inc
DBA Doing business as Adventist Health Clear Lake
Authorized official Howe, Judson H.E.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated May 29th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417027095 NPPES
California MEDICAID HSP40301F

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