AH
Medical Clinic
ADVENTIST HEALTH CLEARLAKE
15322 LAKESHORE DR, SUITE 101, 102, 103, 201, CLEARLAKE, CA 95422
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 058727
- LTC
- NON-LTC
- NPI
- Not reported
- ZIP
- 95422
- id
- 11680
- CITY
- CLEARLAKE
- FLAG
- Not reported
- ZIP9
- 9814
- rank
- 0.057308756
- AO CD
- 19
- FACID
- 630025996
- DEEMED
- 1
- T18 19
- Not reported
- ADDRESS
- 15322 LAKESHORE DR, SUITE 101, 102, 103, 201
- AO NAME
- TCT
- FACNAME
- ADVENTIST HEALTH CLEARLAKE
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 38.950542
- LOCATION
- (-122.625576,38.950542)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.625576
- CCLHO CODE
- 17
- CCLHO NAME
- LAKE
- START DATE
- 04MAR2020
- TRAUMA CTR
- Not reported
- ASPEN FACID
- 630025996
- COUNTY CODE
- 160
- COUNTY NAME
- LAKE
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- 2020-03-04T00:00:00
- PARENT FACID
- 110000044
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2022-06-09T00:00:00
- BUSINESS NAME
- ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC.
- DISTRICT NAME
- SANTA ROSA
- FAC TYPE CODE
- RHC
- LICENSE NUMBER
- 110000174
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 11
- FIPS COUNTY CODE
- 6033
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2020-03-04T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 1968-04-18T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- Y
- LICENSE EFFECTIVE DATE
- 2026-06-18T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-10-31T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- OTHER CERTIFIABLE PART
COMMUNITY EXPERIENCE
Reviews of ADVENTIST HEALTH CLEARLAKE
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