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Organization
NORTHEASTERN RURAL HEALTH CLINICS
Active
Organization
NORTHEASTERN RURAL HEALTH CLINICS
Active
Parent organization
DOYLE FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOYLE FAMILY PRACTICE
Authorized official
LACEY L LIVELY (CEO)
(530) 251-5000
Entity
Organization
Contact information
Practice address
436 435 OLD HIGHWAY RD, DOYLE, CA 96109
(530) 257-5563
(530) 257-6015
Mailing address
1850 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 257-5563
(530) 257-6015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03843F
—
CA
01
—
ZZZ42576Z
BLUE SHIELD
—
Enumeration date
08/10/2006
Last updated
09/10/2025
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