ADVENTIST HEALTH CLEARLAKE HOSPITAL INC (NPI# 1508212424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508212424 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC |
| Other Organization Name | ST. HELENA FAMILY HEALTH CENTER COLUSA |
| Practice Address |
151 E Webster St Colusa CA 95932-2949 |
| Mailing Address |
Po Box 6710 Clearlake CA 95422-6710 |
| Practice Telephone | 5304585003 |
| Mailing Telephone | 7079955820 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | DAVID SANTOS (CEO) |
| Authorized Official Telephone | 7079955820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
110000174 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Helena Family Health Center Colusa | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417027095 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 487 S Main St, Lakeport, CA 95453-5315 | 2006-11-09 |
| 1477104099 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 15322 Lakeshore Drive, Suite 101, 102 and 201, Clearlake, CA 95422 | 2019-09-25 |
| 1609222512 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 501 E St, Williams, CA 95987-5810 | 2016-05-10 |
| 1558737486 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 18990 Coyote Valley Rd, Hidden Valley Lake, CA 95467-8337 | 2015-08-14 |
| Street Address |
151 E WEBSTER ST |
| City | COLUSA |
| State | CA |
| Zip Code | 95932-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210889 | Regents of The University of Ca | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2006-01-19 |
| 1578064846 | Colusa Medical Center, LLC | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2018-02-22 |
| 1972957520 | Adventist Health Physicians Network | Dermatology | 151 E Webster St, Colusa, CA 95932-2949 | 2016-04-20 |
| 1235155318 | Ethelwoldo Pascual Guerrero | Internal Medicine | 151 E Webster St, Colusa, CA 95932-2949 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366934218 | Austin James Chase | Social Worker | 162 E. Carson St, Colusa, CA 95932 | 2018-06-05 |
| 1801253018 | Daniel Hernandez Jr. | Counselor | 160 E. Carson St., Colusa, CA 95932 | 2016-01-19 |
| 1689834905 | Lisa S Dropp | General Practice | 555 Fremont Street, Colusa, CA 95932 | 2008-06-10 |
| 1023220167 | Daniel Joseph Mcclough | Physician Assistant | 501 E Street, Williams, CA 95932 | 2007-05-03 |
| 1811098809 | Tulsi Manish Parikh | Physical Therapist | 199 E Webster Street, Colusa, CA 95932 | 2006-09-25 |
| 1972601417 | Clay M Gidel | Dentist | 3000 Davison Court, Colusa, CA 95932 | 2006-09-20 |
| 1316992068 | Lawrence M Highman | Surgery | 155 E Webster St, Colusa, CA 95932 | 2006-05-23 |
| 1144215427 | Colusa Regional Medical Center | General Acute Care Hospital | 199 E. Webster Street, Colusa, CA 95932 | 2005-09-13 |
| 1790778660 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932 | 2005-08-25 |
| 1265940894 | California Specialty Hosptial North | General Acute Care Hospital | 199 E Webster St, Colusa, CA 95932 | 2018-01-17 |
| Find all providers in zip 95932 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578064846 | Colusa Medical Center, LLC | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2018-02-22 |
| 1215475124 | Colusa Medical Center LLC | Clinic/Center | 199 E Webster St, Colusa, CA 95932-2954 | 2017-02-11 |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
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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.