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Adventist Health Clearlake Hospital Inc.

Critical Access Hospital in Clearlake, CA · enumerated 2005 · authorized official Parker Pridgen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124018031

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Registry record

Entity type Organization (Type 2)
Legal business name Adventist Health Clearlake Hospital Inc.
Other name <Unavail>
Practice address 15630 18th Ave, Clearlake, CA, 95422
Fax (707) 995-3631
Enumeration date Oct 24, 2005
Last updated in NPPES Sep 15, 2025

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals · License 110000174 (CA) Primary

Authorized official

Name Parker Pridgen
Title President

Other identifiers

Identifier Type State Issuer
HSP40539G Medicaid CA -
ZZZC1702Z Other CA BLUE SHIELD INPATIENT
ZZR00539G Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Adventist Health Clearlake Hospital Inc.?
Adventist Health Clearlake Hospital Inc. is registered in NPPES as a Critical Access Hospital (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-15.