ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC - NPI 1841626587

Q: 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.

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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 1841626587), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Lower Lake, California and active in the NPI registry since September 2013. The organization lists Parker J Pridgen, President, as its authorized official.

NPPES Registry Identity

NPI1841626587

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameADVENTIST HEALTH CLEARLAKE HOSPITAL, INC

Location Address9430 LAKE STLower Lake, CA 95457-8600

Mailing AddressPo Box 888837Los Angeles, CA 90088-8837

Phone(707) 571-2819

Fax(707) 571-2970

Organization SubpartNo

Authorized OfficialParker J PridgenPresident · (707) 467-5200

Enumeration DateSeptember 25, 2013

Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1841626587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

9430 LAKE ST, Lower Lake, CA 95457

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Other Names 1

Doing Business AsAdventist Health Clear Lake

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA CHICOINE

Counselor (Mental Health)

9430 LAKE ST
LOWER LAKE, CA 95457

Lake County (707) 994-6471

LAKE COUNTY OFFICE OF EDUCATION

Local Education Agency (LEA)

9430 LAKE ST
LOWER LAKE, CA 95457

Lake County (707) 994-6471

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 1841626587. It was assigned to this organization in the NPPES registry on September 25, 2013.

Where is Adventist Health Clearlake Hospital, Inc located?

Adventist Health Clearlake Hospital, Inc is located at 9430 Lake St, Lower Lake, CA 95457. The listed phone number is (707) 571-2819.

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 with the weekly NPPES data releases published by CMS.