ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962492876, based in Kelseyville, CA. It is classified under Rural Health Clinic/Center.
Getting there
The practice address on file is 5290 STATE ST, Kelseyville, CA 95451. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 110000174 | CA | Rural Health Clinic/Center primary |
This provider holds licence 110000174 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Rural Health Clinic
- PAC ID
- 3072421197
- Enrollment ID
- O20100308000333
Medicare enrolment is recorded as approved under the provider type Part A Provider - Rural Health Clinic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rural Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR1300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1962492876 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 24, 2005 |
| Last updated | Sep 15, 2025 |
| Status | Active |
| Practice address |
5290 STATE ST Kelseyville, CA 95451 (707) 279-8813 Fax (707) 279-2241 |
| Mailing address |
PO BOX 888837 Los Angeles, CA 90088 |
| Other identifiers |
ZZZ49286Z
· Other (CA) RHM19999G · Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 4 | 9 | 2 | 8 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 8 | 9 | 4 | 8 | 5 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.