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MARLEY CREEK RURAL HEALTH INC NPI 1629212956


NPI Information

NPI: 1629212956
Provider Name: MARLEY CREEK RURAL HEALTH INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
900 N HERITAGE DR STE A
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-4571
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MARLEY CREEK RURAL HEALTH INC is a family medicine in Ridgecrest, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARLEY CREEK RURAL HEALTH INC NPI is 1629212956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 N HERITAGE DR STE A
RIDGECREST, CA
ZIP 93555-540
Phone: (760) 446-4571
Fax: (760) 446-3819

The provider's authorized official is Douglas E Roberts .
The authorized official title is President and has the following contact phone number (760) 446-4571.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 6/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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: 11/14/2023

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