Adventist Health Clearlake Hospital Inc. in Clearlake - Critical Access
Adventist Health Clearlake Hospital Inc. - NPI 1124018031
Adventist Health Clearlake Hospital Inc. is a Critical Access in Clearlake, California. Adventist Health Clearlake Hospital Inc. practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Adventist Health Clearlake Hospital Inc. is 1124018031. The last update date is 2022-12-20.
Adventist Health Clearlake Hospital Inc.'s current location address is 15630 18th Ave, Clearlake, California. You can contact this provider via phone number 7079946486 and fax number 7079953631. The mailing address for Adventist Health Clearlake Hospital Inc. is 15630 18th Ave, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Adventist Health Clearlake Hospital Inc. |
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Address | 15630 18th Ave, Clearlake, California |
Phone Number | 7079946486 |
Fax Number | 7079953631 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Assavapisitkul Colleen |
Telephone Number | 7079955827 |
NPI Number Detail
NPI Number | 1124018031 |
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Provider Enumeration Date | 2005-10-24 |
Last Updated Date | 2022-12-20 |
Provider Mailing Address Detail
Address | 15630 18th Ave |
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City | Clearlake |
State | California (CA) |
Post Code | 954226710 |
Phone Number | 7079946486 |
Fax Number | 7079953631 |
Provider's Primary Taxonomy Detail
Speciality | Critical Access |
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Taxonomy | 282Nc0060X |
Licence No | 110000174 |
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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HSP40539G | CA | -- | |
ZZZC1702Z | CA | BLUE SHIELD INPATIENT | |
ZZR00539G | CA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Adventist Health Clearlake Hospital Inc. is located?
The Adventist Health Clearlake Hospital Inc. is situated at the following address: 15630 18Th Ave, Clearlake, CA, 954226710.
What is Adventist Health Clearlake Hospital Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Adventist Health Clearlake Hospital Inc.'s specialized field of practice is Critical Access, and the corresponding taxonomy code that categorizes this area of specialization is 282Nc0060X.
What is Adventist Health Clearlake Hospital Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Adventist Health Clearlake Hospital Inc. is Critical Access, and the taxonomy classification code that categorizes this area of expertise is 282Nc0060X.
When was the information related to Adventist Health Clearlake Hospital Inc. most recently updated or refreshed?
The details pertaining to the Adventist Health Clearlake Hospital Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-20.
As of what date was the information regarding Adventist Health Clearlake Hospital Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adventist Health Clearlake Hospital Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-20.
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