| Northeastern Rural Health Clinics | |
|
209 Birch Street Westwood CA 96137 | |
| (530) 256-3152 | |
| (530) 256-2061 |
| Full Name | Northeastern Rural Health Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 209 Birch Street, Westwood, 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) 251-5000 | Northeastern Rural Health Clinics 209 Birch Street Westwood CA 96137 Ph: (530) 256-3152 |
| NPI Number | 1336150051 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336150051 | NPI | - | NPPES |
| FHC70292F | Medicaid | CA | |
| ZZZ95961Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |