| Organization Name: | ADVENTIST HEALTH REDBUD COMMUNTIY HOSPTIAL |
| NPI Number: | 1104080944 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER L. SWENSON (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 18th Ave And Highway 53 Clearlake |
| State: | CA US |
| Postal Code: | 95422 |
| Phone Number: | 7079946486 |
| Fax Number: | 7079953631 |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 110000174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |