ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
NPI 1417027095
Clinic/Center - Rural Health in Lakeport, CA
About Adventist Health Clearlake Hospital Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC (NPI 1417027095), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Lakeport, California and active in the NPI registry since November 2006. The organization lists Parker J Pridgen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adventist Health Clearlake Hospital Inc's NPI number?
The NPI number for Adventist Health Clearlake Hospital Inc is 1417027095. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Adventist Health Clear Lake.
Where is Adventist Health Clearlake Hospital Inc located?
Adventist Health Clearlake Hospital Inc is located at 487 S Main St, Lakeport, CA 95453. The listed phone number is (707) 263-4631.
What is Adventist Health Clearlake Hospital Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
When was this NPI record last updated?
The NPPES record for Adventist Health Clearlake Hospital Inc was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Adventist Health Clearlake Hospital Inc · NPI 1417027095
Rural Health organization in Lakeport, California. Organization record, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1417027095 (Entity type: Organization)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Adventist Health Clear Lake (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Parker Pridgen, PRESIDENT
## Practice location
- **Address:** 487 S MAIN ST, Lakeport, CA 95453-5315
- **Phone:** (707) 263-4631
## Record status
- **NPPES last updated:** September 15, 2025
- **Other identifiers:** Medicaid HSP40301F (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417027095) · Data from the CMS NPPES public registry.