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NPI · 1962492876 · NPPES-sourced

Adventist Health Clearlake Hospital Inc.

ActiveRural Health Clinic/Center
NPI Number
1962492876
Type 2 · Organisation
Taxonomy Code
261QR1300X
Contact
(707) 279-8813
License CA · 110000174
Last Updated
About 8 months ago (Sep 2025)
Enumerated 2005-10-24
Primary practice addressCA · 95451-9450
5290 State StKelseyville, CA 95451-9450
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About this NPIWhat this record shows.

NPI 1962492876 is registered to Adventist Health Clearlake Hospital Inc., a healthcare organisation classified as "Rural Health Clinic/Center" and located at 5290 State St in Kelseyville, California. The organisation's authorised official is Parker Pridgen. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2005-10-24
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • ZZZ49286ZCA· Issued by BLUE SHIELD

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Adventist Health Clearlake Hospital Inc. accepts. To confirm in-network status with your specific health plan, contact Adventist Health Clearlake Hospital Inc. directly at (707) 279-8813.

Frequently asked

Yes. NPI 1962492876 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Rural Health Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 279-8813.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Adventist Health Clearlake Hospital Inc. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QR1300X
Last updated2025-09
Enumerated2005-10-24
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Rural Health Clinic/Center providers in California.

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