MARK TWAIN MEDICAL CENTER NPI 1588725196

NPI Information

NPI: 1588725196
Provider Name: MARK TWAIN MEDICAL CENTER

Doing Business As: FAMILY MEDICAL CENTER - COPPEROPOLIS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
430 SAWMILL CREEK RD
COPPEROPOLIS, CA
ZIP 95228
Phone: (209) 785-0000
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MARK TWAIN MEDICAL CENTER is a rural health clinic center in Copperopolis, CA. MARK TWAIN MEDICAL CENTER NPI is 1588725196. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medical Center - Copperopolis.

The provider's business location address is:

430 SAWMILL CREEK RD
COPPEROPOLIS, CA
ZIP 95228
Phone: (209) 785-0000
Fax: (209) 785-7085

The provider's authorized official is Nikki Ochoa .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 467-6442.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	030000058	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER		IRS - TAX ID
2	=========	OTHER		WPS TRICARE
3	ZZZ61268Z	OTHER		BLUE SHIELD OF CA
4	RHM08548F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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