Susanville Indian Rancheria
Susanville Indian Rancheria is a Federally Qualified Health Center (FQHC) in Susanville, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
795 Joaquin StSusanville, CA 96130-3628
Phone: (530) 257-2542
Fax: (530) 257-1101
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 230000120 (CA) |
|---|
Record details
| NPI number | 1770564049 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lona Marioneaux Ibanitoru — Ceo · (530) 251-5184 |
| Other names | Lassen Indian Health Center; Lassen Indian Health Center |
| NPI enumerated | November 14, 2005 |
| Last updated in NPPES | February 18, 2026 |
| Certification date | February 18, 2026 |
| Mailing address | 795 Joaquin St, Susanville, CA 96130-3628 |