| Adventist Health Clearlake Hospital Inc | |
|
18990 Coyote Valley Rd Hidden Valley Lake CA 95467-8337 | |
| (707) 987-8344 | |
| Not Available |
| Full Name | Adventist Health Clearlake Hospital Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18990 Coyote Valley Rd, Hidden Valley Lake, California |
| Authorized Official Name and Position | Parker J Pridgen (PRESIDENT) |
| Authorized Official Contact | 7074675200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Clearlake Hospital Inc Po Box 888837 Los Angeles CA 90088-8837 Ph: () - | Adventist Health Clearlake Hospital Inc 18990 Coyote Valley Rd Hidden Valley Lake CA 95467-8337 Ph: (707) 987-8344 |
| NPI Number | 1558737486 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 09/15/2025 |
| Medicare PECOS PAC ID | 3072421197 |
|---|---|
| Medicare Enrollment ID | O20151029002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558737486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 110000174 (California) | Primary |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 8, Hidden Valley Lake, CA 95467 Phone: 707-963-5006 Fax: 707-963-5083 | |
Adventist Health California Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 10, Hidden Valley Lake, CA 95467 Phone: 707-987-8344 Fax: 707-987-8395 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 10, Hidden Valley Lake, CA 95467 Phone: 707-987-8344 Fax: 707-987-8395 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 8, Hidden Valley Lake, CA 95467 Phone: 707-987-8344 Fax: 707-987-8395 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 9, Hidden Valley Lake, CA 95467 Phone: 707-963-4997 Fax: 707-963-4999 | |
Adventist Health California Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 5, Hidden Valley Lake, CA 95467 Phone: 707-987-9024 Fax: 707-987-9152 |