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MARSHALL MEDICAL CENTER NPI 1659554285


NPI Information

NPI: 1659554285
Provider Name: MARSHALL MEDICAL CENTER

Other Name: MARSHALL HEMATOLOGY/ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D0969193

Address:
3581 PALMER DR
SUITE 400
CAMERON PARK, CA
ZIP 95682
Phone: (530) 676-6600
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MARSHALL MEDICAL CENTER is a hematology and oncology internal medicine in Cameron Park, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MARSHALL MEDICAL CENTER NPI is 1659554285. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Marshall Hematology/oncology.

The provider's business location address is:

3581 PALMER DR
SUITE 400
CAMERON PARK, CA
ZIP 95682-236
Phone: (530) 676-6600
Fax: (530) 676-6603

The provider's authorized official is Laurie Eldridge .
The authorized official title is Cfo and has the following contact phone number (530) 626-2955.

The CLIA number assigned to this NPI record is 05D0969193 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 9/8/2020.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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: 4/28/2024

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