2 associated locations — data as of November 6, 2026
Critical access hospital · Clearlake, CA
Live Well
Filed under Adventist Health Clearlake Hospital, Inc., which files the Medicare cost report for this system.
Taking partYesLast certifiedAugust 19, 2026
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- April 1, 2012In 340B since
Across Adventist Health Clearlake Hospital, Inc., 50 contract pharmacies are on file. This location is filed at 15230 Lakeshore Drive, Clearlake CA 95422.
Finances, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc., which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc.. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc.. Executive and director compensation is on that record.
Get an email when a record in this system changes
One email a day naming what moved on Adventist Health Clearlake Hospital, Inc. and every record registered under it: the field, the value before, the value after, and the date of the file that first showed it.
On September 15, 2026, NPI changed from 1124018031 (CA), 1316937121 (CA) to 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1316937121 (CA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1912092792 (HI,OR,WA). That is one line of the daily email.
Changes recorded
| Date first shown | Field | Was | Now |
|---|---|---|---|
| September 15, 2026 | NPI | 1124018031 (CA), 1316937121 (CA) | 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1316937121 (CA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1912092792 (HI,OR,WA) |
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- April 1, 2012
- Certification date
- August 19, 2026
- Record last edited
- September 14, 2026
Identifiers
- 340B ID
- CAH051317-06
- Entity type as filed
- CAH
- CMS certification number
- 051317
- NPI
- 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1316937121 (CA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1912092792 (HI,OR,WA)
- Rural
- Yes
15230 Lakeshore Drive, Clearlake CA 95422
Associated locations
| Live Well | 15230 Lakeshore Drive | Clearlake CA 95422 |
| St. Helena Hospital Clear Lake | 15630 18th Avenue | Clearlake CA 95422 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.