ADVENTIST HEALTH REDBUD COMMUNTIY HOSPTIAL (NPI# 1104080944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104080944 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH REDBUD COMMUNTIY HOSPTIAL |
| Practice Address |
18th Ave and Highway 53 Clearlake CA 95422 |
| Mailing Address |
Po Box 6710 Clearlake CA 95422-6710 |
| Practice Telephone | 7079946486 |
| Practice Fax Number | 7079953631 |
| Mailing Telephone | 7079946486 |
| Mailing Fax Number | 7079953631 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MRS. JENNIFER L. SWENSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7079955811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
110000174 | CA | Hospitals |
| Street Address |
18TH AVE AND HIGHWAY 53 |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684694 | St. Helena Hospital | Home Health | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2005-10-24 |
| 1942486642 | Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| 1124204821 | Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| 1841476447 | Adventist Health Clearlake Hospital, Inc-clearlake Family Health Cente | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288818 | Mahalet Zewde Welde Semat | General Acute Care Hospital | 2447 Vallejo St Apt 5, San Francisco, CA 94123-4656 | 2016-07-07 |
| 1053789164 | Va Longbeach Medical Center | General Acute Care Hospital | 14118 Cordary Ave Apt 22, Hawthorne, CA 90250-8074 | 2015-09-04 |
| 1871884585 | Tulare Local Health Care District | General Acute Care Hospital | 16796 Avenue 168, Woodville, CA 93257-0000 | 2011-04-28 |
| 1841525532 | Stanley D Levine, Md A Professional Corporation | General Acute Care Hospital | 20760 Hyde Rd, Sonoma, CA 95476-9588 | 2009-10-13 |
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| 1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
| 1649446014 | Edward Turberville Peter | General Acute Care Hospital | 13980 Valley View Dr, Red Bluff, CA 96080-9352 | 2008-05-05 |
| 1952402844 | Feather River Hospital | General Acute Care Hospital | 5730 Canyon View Dr., Paradise, CA 95969 | 2006-09-26 |
| 1558374132 | Byron P Sansom A Dental Corporation | General Acute Care Hospital | 452 Old Mammoth Rd., Suite L, Mammoth Lakes, CA 93546 | 2006-08-14 |
| 1750321378 | John Michael Pabers | General Acute Care Hospital | 2304 Juan St, San Diego, CA 92103-1111 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.