| Northeastern Rural Health Clinics | |
|
1850 Spring Ridge Dr Susanville CA 96130-6100 | |
| (530) 251-5000 | |
| (530) 252-1340 |
| Full Name | Northeastern Rural Health Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 1850 Spring Ridge Dr, Susanville, California |
| Authorized Official Name and Position | Lacey L Lively (CEO) |
| Authorized Official Contact | 5302515000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Rural Health Clinics 1850 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 251-5000 | Northeastern Rural Health Clinics 1850 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 251-5000 |
| NPI Number | 1477563518 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 09/10/2025 |
| Medicare PECOS PAC ID | 0446225254 |
|---|---|
| Medicare Enrollment ID | O20041216000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477563518 | NPI | - | NPPES |
| 080061921 | Other | RRMCR MORGAN | |
| FHC70081F | Medicaid | CA | |
| 080005169 | Other | RRMCR DOZIER | |
| 080119610 | Other | RRMCR DAVAINIS | |
| 080042465 | Other | RRMCR HOLMES | |
| ZZZ87615Z | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (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 |