Adventist Health Clearlake Hospital, Inc-Kelseyville Family Health Cen
LBN: Adventist Health Clearlake Hospital, Inc-Kelseyville Family Health Cen
Adventist Health Clearlake Hospital, Inc-Kelseyville Family Health Cen is an health care organization with primary practice located at 18Th Ave And Highway 53 , Clearlake CA 95422-6710. 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-Kelseyville Family Health Cen can be contacted via phone (707) 279-8813, or through Swenson, Jennifer L. via phone (707) 995-5811.
Contact Information
Primary practice address
18Th Ave And Highway 53
Clearlake CA 95422-6710
Phone: (707) 279-8813
Fax: (707) 279-2241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 110000174 | California |
Profile Details
| NPI number | 1942486642 |
|---|---|
| LBN Legal business name | Adventist Health Clearlake Hospital, Inc-Kelseyville Family Health Cen |
| DBA Doing business as | |
| Authorized official | Swenson, Jennifer L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Jan 20th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942486642 | NPPES |
| California | MEDICAID | BCP19999G |
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