ADVENTIST HEALTH CLEARLAKE HOSPITAL INC NPI 1841626587

NPI Information

ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC is a critical access general acute care hospital in Lower Lake, CA. ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC NPI is 1841626587. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Clear Lake.

The provider's business location address is:

9430 LAKE ST
LOWER LAKE, CA
ZIP 95457-600
Phone: (707) 571-2819
Fax: (707) 571-2970

The provider's authorized official is Colleen Assavapisitkul .
The authorized official title is President and has the following contact phone number (707) 995-5827.

The CLIA number assigned to this NPI record is 05D2065862 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2013 and was last updated on 12/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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