Lassen Indian Health Center - Medicare Primary Care in Susanville, CA

Lassen Indian Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Susanville, California. The current practice location for Lassen Indian Health Center is 795 Joaquin St, Susanville, California. For appointments, you can reach them via phone at (530) 257-2542. The mailing address for Lassen Indian Health Center is 795 Joaquin St, Susanville, California and phone number is (530) 257-2542.

Lassen Indian Health Center is licensed to practice in California (license number 230000120). The clinic also participates in the medicare program and its NPI number is 1770564049. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (530) 257-2542.

Contact Information

Lassen Indian Health Center
795 Joaquin St
Susanville
CA 96130-3628
(530) 257-2542
(530) 251-5208

Primary Care Clinic Profile

Full NameLassen Indian Health Center
SpecialityClinic/Center
Location795 Joaquin St, Susanville, California
Authorized Official Name and PositionDeana Bovee (TRIBAL CHAIRMAN)
Authorized Official Contact5302576264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lassen Indian Health Center
795 Joaquin St
Susanville
CA 96130-3628

Ph: (530) 257-2542
Lassen Indian Health Center
795 Joaquin St
Susanville
CA 96130-3628

Ph: (530) 257-2542

NPI Details:

NPI Number1770564049
Provider Enumeration Date11/14/2005
Last Update Date04/04/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0749253946
Medicare Enrollment IDO20120113000762

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Medical Identifiers

Medical identifiers for Lassen Indian Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770564049NPI-NPPES
PHA470460MedicaidCA
THP03876FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 230000120 (California)Primary

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