ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
NPI 1558737486
Clinic/Center - Rural Health in Hidden Valley Lake, CA
NPI Status: Active since August 14, 2015
Contact Information
18990 COYOTE VALLEY RD
HIDDEN VALLEY LAKE, CA
ZIP 95467
Phone: (707) 987-8344
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D1090124
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 10-01-2026
About ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
This page provides the complete NPI Profile along with additional information for Adventist Health Clearlake Hospital Inc, a primary care provider established in Hidden Valley Lake, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1558737486 assigned on August 2015. The practitioner's primary taxonomy code is 261QR1300X with license number 110000174 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1558737486
- Provider Legal Name
- ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 18990 COYOTE VALLEY RD HIDDEN VALLEY LAKE, CA 95467
- Location Phone
- (707) 987-8344
- Mailing Address
- PO BOX 888837 LOS ANGELES, CA 90088
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2015
- Last Update Date
- 09-15-2025
- Code Navigator
A primary care provider (PCP) like Adventist Health Clearlake Hospital Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 110000174
- License State
- CA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1090124
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- COREY M. WARNER MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Adventist Health Clearlake Hospital Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558737486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
HIDDEN VALLEY LAKE, CA 95467
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558737486, enumerated as an "organization" on August 14, 2015.
The provider is located at 18990 COYOTE VALLEY RD HIDDEN VALLEY LAKE, CA 95467 and the phone number is (707) 987-8344.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
