SUSANVILLE INDIAN RANCHERIA

SUSANVILLE, CA
NPI1770564049
Doing Business AsLASSEN INDIAN HEALTH CENTER
Entity TypeOrganization
Authorized ContactDEANA BOVEE
Tribal Chairman
530-257-6264
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
(Licence: CA  230000120)
Enumeration Date2005-11-14
Last Update Date2019-04-04
Business Address
SUSANVILLE INDIAN RANCHERIA
795 JOAQUIN ST
SUSANVILLE, CA 96130-3628
Phone number: 530-257-2542
Mailing Address
SUSANVILLE INDIAN RANCHERIA
795 JOAQUIN ST
SUSANVILLE, CA 96130-3628
Phone number: 530-257-2542