Adventist Health Clear Lake | |
155 Solano St Corning CA 96021-3511 | |
(530) 824-4663 | |
Not Available |
Full Name | Adventist Health Clear Lake |
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Speciality | Clinic/Center |
Location | 155 Solano St, Corning, California |
Authorized Official Name and Position | Judson H.e. Howe (PRESIDENT) |
Authorized Official Contact | 7074563010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adventist Health Clear Lake Po Box 888837 Los Angeles CA 90088-8837 Ph: () - | Adventist Health Clear Lake 155 Solano St Corning CA 96021-3511 Ph: (530) 824-4663 |
NPI Number | 1285054106 |
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Provider Enumeration Date | 04/17/2014 |
Last Update Date | 05/29/2024 |
Medicare PECOS PAC ID | 3072421197 |
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Medicare Enrollment ID | O20200401003164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285054106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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