Organization
BANNER LASSEN MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
PARIS LABRUZZO (SR DIRECTOR)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
Mailing address
2901 N CENTRAL AVE, PHOENIX, AZ 85012-2700
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2300000020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP30251I
—
CA
05
—
HSP40251I
—
CA
Enumeration date
06/29/2006
Last updated
04/03/2026
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