Adventist Health Clear Lake - Medicare Primary Care in Middletown, CA

Adventist Health Clear Lake is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Middletown, California. The current practice location for Adventist Health Clear Lake is 21337 Bush St, Middletown, California. For appointments, you can reach them via phone at (707) 987-3311. The mailing address for Adventist Health Clear Lake is Po Box 888837, Los Angeles, California and phone number is () -.

Adventist Health Clear Lake is licensed to practice in California (license number 110000174). The clinic also participates in the medicare program and its NPI number is 1972593788. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (707) 987-3311.

Contact Information

Adventist Health Clear Lake
21337 Bush St
Middletown
CA 95461
(707) 987-3311
(707) 987-2455

Primary Care Clinic Profile

Full NameAdventist Health Clear Lake
SpecialityClinic/Center
Location21337 Bush St, Middletown, California
Authorized Official Name and PositionColleen Assavapisitkul (PRESIDENT)
Authorized Official Contact7079955827
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adventist Health Clear Lake
Po Box 888837
Los Angeles
CA 90088-8837

Ph: () -
Adventist Health Clear Lake
21337 Bush St
Middletown
CA 95461

Ph: (707) 987-3311

NPI Details:

NPI Number1972593788
Provider Enumeration Date10/24/2005
Last Update Date12/20/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3072421197
Medicare Enrollment IDO20021226000021

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Medical Identifiers

Medical identifiers for Adventist Health Clear Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972593788NPI-NPPES
RHM08586FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 110000174 (California)Primary

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Clinic/Center in Middletown, CA

St. Helena Family Health Center Middletown
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 21337 Bush Street, Middletown, CA 95461
Phone: 707-987-3311    Fax: 707-987-2455

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