Adventist Health Clearlake Hospital Inc in Lakeport - Rural Health
Adventist Health Clearlake Hospital Inc - NPI 1417027095
Adventist Health Clearlake Hospital Inc is a Rural Health in Lakeport, California. Adventist Health Clearlake Hospital Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Adventist Health Clearlake Hospital Inc is 1417027095. The last update date is 2022-12-20.
Adventist Health Clearlake Hospital Inc's current location address is 487 S Main St, Lakeport, California. You can contact this provider via phone number 7072634631. The mailing address for Adventist Health Clearlake Hospital Inc is 487 S Main St, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adventist Health Clearlake Hospital Inc |
|---|---|
| Address | 487 S Main St, Lakeport, California |
| Phone Number | 7072634631 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Assavapisitkul Colleen |
| Telephone Number | 7079955827 |
NPI Number Detail
| NPI Number | 1417027095 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2022-12-20 |
Provider Mailing Address Detail
| Address | 487 S Main St |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954535315 |
| Phone Number | 7072634631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSP40301F | CA | -- |
Post Comment/ Review Below
What is the Adventist Health Clearlake Hospital Inc's 1417027095?
The Adventist Health Clearlake Hospital Inc's NPI (National Provider Identifier) Number is 1417027095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Adventist Health Clearlake Hospital Inc?
The Adventist Health Clearlake Hospital Inc is situated at 487 S Main St, in the city of Lakeport, state of CA, with the zip code 954535315.
What is Adventist Health Clearlake Hospital Inc's area of expertise and its corresponding taxonomy classification?
The Adventist Health Clearlake Hospital Inc's field of specialization is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Adventist Health Clearlake Hospital Inc receive its 1417027095 assignment from the Centers for Medicare & Medicaid Services?
The Adventist Health Clearlake Hospital Inc was assigned its 1417027095 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date was the information pertaining to Adventist Health Clearlake Hospital Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Adventist Health Clearlake Hospital Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-20.