MARSHALL MEDICAL CENTER NPI 1962506097

NPI Information

NPI: 1962506097
Provider Name: MARSHALL MEDICAL CENTER

Doing Business As: MARSHALL FAMILY MEDICINE PLACERVILLE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1095 MARSHALL WAY
SUITE 100
PLACERVILLE, CA
ZIP 95667
Phone: (530) 626-2920
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MARSHALL MEDICAL CENTER is a family medicine in Placerville, 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. MARSHALL MEDICAL CENTER NPI is 1962506097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marshall Family Medicine Placerville.

The provider's business location address is:

1095 MARSHALL WAY
SUITE 100
PLACERVILLE, CA
ZIP 95667-722
Phone: (530) 626-2920

The provider's authorized official is Siri Nelson .
The authorized official title is Ceo and has the following contact phone number (530) 626-2601.

The enumeration date for this NPI number is 9/11/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207R00000X	Internal Medicine		CALIFORNIA	No
2	207RG0100X	Internal Medicine	Gastroenterology		No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	CALIFORNIA	No
4	207Q00000X	Family Medicine		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	CT1847	OTHER	CALIFORNIA	RAILROAD MEDICARE

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

NPI Synchronization or Removal

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