| 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 |