| Banner Lassen Medical Center | |
|
1800 Spring Ridge Dr Susanville CA 96130-6100 | |
| (530) 252-2000 | |
| (530) 252-2241 |
| Full Name | Banner Lassen Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| Authorized Official Name and Position | Dennis Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Lassen Medical Center 2901 N Central Ave Ste 160 Phoenix AZ 85012-2700 Ph: (602) 747-4000 | Banner Lassen Medical Center 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000 |
| NPI Number | 1720463961 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720463961 | NPI | - | NPPES |
| HSA | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Marshall Healthcare Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Russell Ave, Suite L, Susanville, CA 96130 Phone: 530-313-5529 Fax: 530-387-3581 | |
Jay M Beams Md,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Nevada St, Susanville, CA 96130 Phone: 530-257-4137 | |
F Kuliyev Pllc Ltd Fuad Kuliyev Sole Mbr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 | |
Banner Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1345 A Paul Bunyan Rd, Susanville, CA 96130 Phone: 530-252-2235 Fax: 530-252-2241 | |
Lassen Indian Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Joaquin St, Susanville, CA 96130 Phone: 530-257-2542 Fax: 530-251-5208 | |
S Pannu Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 | |
Jay M Beams Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Nevada St, Susanville, CA 96130 Phone: 530-257-4137 Fax: 530-257-4005 |