OrganizationActive
Banner Lassen Medical Center
NPI 1720463961 · Multi-Specialty Clinic/Center · Susanville, CA
Provider details
- NPI number
- 1720463961
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vp Finance(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1800 Spring Ridge Dr
Susanville, CA 96130-6100
Phone: (530) 252-2000
Fax: (530) 252-2241
Street-level locationGet directions
Mailing address
2901 N Central Ave
Phoenix, AZ 85012-2700
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2016-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.