Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Rural Health Clinics

Organization Family Medicine Physician · NPI 1477563518

Northeastern Rural Health Clinics is a Family Medicine Physician in Susanville, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone: (530) 251-5000
Fax: (530) 252-1340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477563518
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheastern Health Center
Authorized official Lacey Lively — Ceo · (530) 251-5000
NPI enumeratedAugust 9, 2006
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1850 Spring Ridge Dr, Susanville, CA 96130-6100

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