Northeastern Rural Health Clinics
NPI 1477563518 · Family Medicine Physician · Susanville, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeastern Rural Health Clinics is a Family Medicine Physician organization in Susanville, CA (NPI 1477563518).
Provider details
- NPI number
- 1477563518
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northeastern Health Center
- Organization subpart
- Yes
- Authorized official
- Lacey Lively, Ceo(530) 251-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Northeastern Rural Health Clinics's NPI number?
- Northeastern Rural Health Clinics's National Provider Identifier (NPI) is 1477563518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Rural Health Clinics?
- Northeastern Rural Health Clinics is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northeastern Rural Health Clinics located?
- Northeastern Rural Health Clinics's practice location on file with NPPES is 1850 Spring Ridge Dr, Susanville, CA 96130-6100.
- What is Northeastern Rural Health Clinics's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Rural Health Clinics is (530) 251-5000.
- Does Northeastern Rural Health Clinics accept Medicare?
- Northeastern Rural Health Clinics is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeastern Rural Health Clinics?
- The authorized official listed on Northeastern Rural Health Clinics's NPPES record is Lacey Lively, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Rural Health Clinics's NPI active?
- Yes — Northeastern Rural Health Clinics's NPI (1477563518) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.