Redbud Community Hospital Anesthesia

LBN: Adventist Health Clearlake Hospital, Inc
Redbud Community Hospital Anesthesia is an health care organization with primary practice located at 15630 18Th Avenue , Clearlake CA 95422-6710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Adventist Health Clearlake Hospital, Inc can be contacted via phone (707) 995-5883, or through Swenson, Jennifer via phone (707) 995-5811.

Contact Information

Primary practice address
15630 18Th Avenue Clearlake CA 95422-6710
Phone: (707) 995-5883
Fax: (707) 995-0223
Website:
Map and Directions
Authorized official contact:
Name: Swenson, Jennifer
Phone: (707) 995-5811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 110000174 California

Profile Details

NPI number 1639151996
LBN Legal business name Adventist Health Clearlake Hospital, Inc
DBA Doing business as Redbud Community Hospital Anesthesia
Authorized official Swenson, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 27th, 2008 - about 16 years 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 1639151996 NPPES
California Other ZZZ50608Y BLUE SHIELD

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