| Lake County Tribal Health Southshore Clinic | |
|
14440 Olympic Drive Clearlake CA 95422 | |
| (707) 263-8382 | |
| (707) 263-5019 |
| Full Name | Lake County Tribal Health Southshore Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14440 Olympic Drive, Clearlake, California |
| Authorized Official Name and Position | Ernesto Padilla (CEO) |
| Authorized Official Contact | 7072638382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Tribal Health Southshore Clinic Po Box 1950 Lakeport CA 95453-1950 Ph: (707) 263-8382 | Lake County Tribal Health Southshore Clinic 14440 Olympic Drive Clearlake CA 95422 Ph: (707) 263-8382 |
| NPI Number | 1063158038 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063158038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St. Helena Family Practice Clearlake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0305 | |
Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18th Ave And Highway 53, Clearlake, CA 95422 Phone: 707-987-3311 Fax: 707-987-2455 | |
Family Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Ste. 201, Clearlake, CA 95422 Phone: 707-994-2920 Fax: 707-994-2917 | |
Marc R Shapiro Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870 | |
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14678 Lakeshore Boulevard, Clearlake, CA 95453 Phone: 707-262-8382 | |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Drive, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 |