Susanville Indian Rancheria is not a DME supplier for medicare equipments and products.
Susanville Indian Rancheria is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Susanville, California. This organization is also known as sub part of Susanville Indian Rancheria. It is located at 795 Joaquin St, Susanville and it's customer support contact number is 530-257-8581. The authorized person of Susanville Indian Rancheria is Mr. Stacy Dixon who is Tribal Chairman of the pharmacy and his contact number is 530-257-6264. Active license number of Susanville Indian Rancheria is PHE47046 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in California. Susanville Indian Rancheria is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Susanville Indian Rancheria type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Susanville Indian Rancheria
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Stacy Dixon
Position:
Tribal Chairman
Contact Number:
530-257-6264
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053484998
Parent Organization:
Susanville Indian Rancheria
NPI Enumeration Date:
16 Nov, 2006
NPI Last Update On:
16 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susanville Indian Rancheria are as mentioned below.
Specialization
License Number
State
Status
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
PHE47046
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA470460
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
795 Joaquin St, Susanville, California
Zip:
96130-3628
Phone Number:
530-257-8581
Fax Number:
530-251-1846
Patients can reach Susanville Indian Rancheria at 795 Joaquin St, Susanville, California or can call on customer care at 530-257-8581.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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