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CH091960 NORTHEASTERN RURAL HEALTH CLINICS, INC. (Active)
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Main Details
Name
NORTHEASTERN RURAL HEALTH CLINICS, INC.
Subdivision Name
NORTHEASTERN HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002176
340B ID
CH091960
Grant Number
H80CS00709
Additional Details
Current Program Status
Active
Registration Date
4/1/1998
Participating Start Date
4/1/1998
Participating Approval Date
7/19/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Northeastern Rural Health Clinics, Inc.
Lacey Lively, Chief Financial Officer
(530) 251-1432
Primary Contact
Northeastern Rural Health Clinics
Janeen Hales, Staff Accountant
(530) 251-5000
Addresses
Street Address
1850 SPRING RIDGE DRIVE
SUSANVILLE, CA 96130
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME, CONTACT, COMBINES W/ CH09196A, 7/19/05 - UPDATED CONTACT, 8/26/05 - NEW ADDR/NAME (WAS LASSEN FAMILY PRACTICE AT 1306 RIVERSIDE DRIVE)
08/26/2005
April 2025
April 2025
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