| Adventist Health Clear Lake | |
|
21337 Bush Street Middletown CA 95461 | |
| (707) 987-3311 | |
| (707) 987-2455 |
| Full Name | Adventist Health Clear Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 21337 Bush Street, Middletown, California |
| Authorized Official Name and Position | Judson H.e. Howe (PRESIDENT) |
| Authorized Official Contact | 7074563010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Clear Lake Po Box 888837 Los Angeles CA 90088-8837 Ph: () - | Adventist Health Clear Lake 21337 Bush Street Middletown CA 95461 Ph: (707) 987-3311 |
| NPI Number | 1063791028 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063791028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21337 Bush St, Middletown, CA 95461 Phone: 707-987-3311 Fax: 707-987-2455 |