| Adventist Health Clear Lake | |
|
15322 Lakeshore Drive Suite 101, 102 And 201 Clearlake CA 95422 | |
| (707) 461-7986 | |
| Not Available |
| Full Name | Adventist Health Clear Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 15322 Lakeshore Drive, Clearlake, California |
| Authorized Official Name and Position | Colleen Assavapisitkul (PRESIDENT) |
| Authorized Official Contact | 7079955827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Clear Lake Po Box 888837 Los Angeles CA 90088-8837 Ph: () - | Adventist Health Clear Lake 15322 Lakeshore Drive Suite 101, 102 And 201 Clearlake CA 95422 Ph: (707) 461-7986 |
| NPI Number | 1477104099 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 3072421197 |
|---|---|
| Medicare Enrollment ID | O20191126002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477104099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Helena Family Practice Clearlake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0305 | |
Lake County Tribal Health Southshore Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Olympic Drive, Clearlake, CA 95422 Phone: 707-263-8382 Fax: 707-263-5019 | |
Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18th Ave And Highway 53, Clearlake, CA 95422 Phone: 707-987-3311 Fax: 707-987-2455 | |
Family Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Ste. 201, Clearlake, CA 95422 Phone: 707-994-2920 Fax: 707-994-2917 | |
Marc R Shapiro Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870 | |
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14678 Lakeshore Boulevard, Clearlake, CA 95453 Phone: 707-262-8382 | |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Drive, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 |