Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Northeastern Rural Health Clinics

Family Medicine Physician in Susanville, CA · enumerated 2006 · authorized official Lacey Lively, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477563518

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Registry record

Entity type Organization (Type 2)

Legal business name Northeastern Rural Health Clinics

Parent organization Northeastern Health Center

Practice address 1850 Spring Ridge Dr, Susanville, CA, 96130

Phone (530) 251-5000

Fax (530) 252-1340

Enumeration date Aug 9, 2006

Last updated in NPPES Sep 10, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lacey Lively

Title Ceo

Phone (530) 251-5000

Other identifiers

Identifier	Type	State	Issuer
080061921	Other	-	RRMCR MORGAN
FHC70081F	Medicaid	CA	-
080005169	Other	-	RRMCR DOZIER
080119610	Other	-	RRMCR DAVAINIS
080042465	Other	-	RRMCR HOLMES
ZZZ87615Z	Other	-	BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Northeastern Rural Health Clinics located?

The practice location on file with NPPES is in Susanville, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-10.