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NORTHEASTERN RURAL HEALTH CLINICS
NPI 1477563518
Family Medicine in Susanville, CA

Active since August 09, 2006
1850 SPRING RIDGE DR, SUSANVILLE, CA 96130(530) 251-5000(530) 252-1340 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Aug 21, 2024, Dec 28, 2020 and 2 more (5 updates tracked since 2016).

About Northeastern Rural Health Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTERN RURAL HEALTH CLINICS (NPI 1477563518) is a healthcare organization registered as a family medicine in Susanville, California and active in the NPI registry since August 2006. The organization lists Lacey L Lively, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477563518
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHEASTERN RURAL HEALTH CLINICS
Location Address1850 SPRING RIDGE DRSusanville, CA 96130-6100
Mailing Address1850 Spring Ridge DrSusanville, CA 96130-6100 · (530) 251-5000 · Fax (530) 252-1340
Phone(530) 251-5000
Fax(530) 252-1340
Organization SubpartYesParent: Northeastern Health Center
Authorized OfficialLacey L LivelyCeo · (530) 251-5000
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 10, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1477563518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1850 SPRING RIDGE DR, Susanville, CA 96130
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Other Identifiers 6

Other080061921Rrmcr Morgan
MedicaidFHC70081FCA
Other080005169Rrmcr Dozier
Other080119610Rrmcr Davainis
Other080042465Rrmcr Holmes
OtherZZZ87615ZBlue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI L REA FNP/CNM
Nurse Practitioner (Family)
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 257-5563
DR. PETER RAY WILCOX M.D.
Family Medicine
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 257-9677
KELLIE L ARNOLD FNP-C
Nurse Practitioner (Family)
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 251-5000
IAN BLAZER LLOYD
Dietitian, Registered
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 257-7094
DONNA DINETTE AGPCNP
Nurse Practitioner (Adult Health)
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 251-5000
DR. ISTVAN FELKER DDS
Dentist
1850 SPRING RIDGE DR, NORTHEASTERN RURAL HEALTH CENTER SUITE H
SUSANVILLE, CA 96130
Lassen County (530) 251-5000
DR. PAUL WEBER HOLMES MD
Family Medicine
1850 SPRING RIDGE DR
SUSANVILLE, CA 96130
Lassen County (530) 257-5563
NORTHERN NEVADA CARDIOLOGY PC
Internal Medicine (Interventional Cardiology)
1850 SPRING RIDGE DR, SUITE B
SUSANVILLE, CA 96130
Lassen County (775) 356-4514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeastern Rural Health Clinics's NPI number?

The NPI number for Northeastern Rural Health Clinics is 1477563518. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Northeastern Rural Health Clinics located?

Northeastern Rural Health Clinics is located at 1850 Spring Ridge Dr, Susanville, CA 96130. The listed phone number is (530) 251-5000.

What is Northeastern Rural Health Clinics's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Northeastern Rural Health Clinics accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Northeastern Rural Health Clinics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeastern Rural Health Clinics was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.