ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
NPI 1972593788
Clinic/Center - Rural Health in Middletown, CA

Active since October 24, 2005
21337 BUSH ST, MIDDLETOWN, CA 95461(707) 987-3311(707) 987-2455 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Jun 18, 2025, Dec 20, 2022 and 1 more (4 updates tracked since 2022).

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 1972593788), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Middletown, California and active in the NPI registry since October 2005. The organization lists Parker J Pridgen, President, as its authorized official.

NPPES Registry Identity

NPI1972593788
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
Location Address21337 BUSH STMiddletown, CA 95461
Mailing AddressPo Box 888837Los Angeles, CA 90088-8837
Fax(707) 987-2455
Organization SubpartNo
Authorized OfficialParker J PridgenPresident · (707) 467-5200
Enumeration DateOctober 24, 2005
Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1972593788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in CA · 110000174
21337 BUSH ST, Middletown, CA 95461

Other Names 1

Doing Business AsAdventist Health Clear Lake

Other Identifiers 1

MedicaidRHM08586FCA

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
21337 BUSH ST
MIDDLETOWN, CA 95461

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 1972593788. It was assigned to this organization in the NPPES registry on October 24, 2005. 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 21337 Bush St, Middletown, CA 95461. The listed phone number is (707) 987-3311.

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.