| Northeastern Rural Health Clinics | |
| 
					436 435 Old Highway Rd Doyle CA 96109  | |
| (530) 257-5563 | |
| (530) 257-6015 | 
| Full Name | Northeastern Rural Health Clinics | 
|---|---|
| Speciality | Family Medicine | 
| Location | 436 435 Old Highway Rd, Doyle, California | 
| Authorized Official Name and Position | Lacey L Lively (CEO) | 
| Authorized Official Contact | 5302515000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northeastern Rural Health Clinics 1850 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 257-5563  | Northeastern Rural Health Clinics 436 435 Old Highway Rd Doyle CA 96109 Ph: (530) 257-5563  | 
| NPI Number | 1598776221 | 
|---|---|
| Provider Enumeration Date | 08/10/2006 | 
| Last Update Date | 09/10/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598776221 | NPI | - | NPPES | 
| FHC03843F | Medicaid | CA | |
| ZZZ42576Z | Other | BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |