MARSHALL MEDICAL CENTER NPI 1073088316

NPI Information

NPI: 1073088316
Provider Name: MARSHALL MEDICAL CENTER
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1045 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667
Phone: (530) 622-8204
Get Directions

MARSHALL MEDICAL CENTER is an addiction medicine family medicine in Placerville, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MARSHALL MEDICAL CENTER NPI is 1073088316. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1045 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667-721
Phone: (530) 622-8204
Fax: (530) 622-8205

The provider's authorized official is Laurie Eldridge .
The authorized official title is Cfo and has the following contact phone number (530) 622-1441.

The enumeration date for this NPI number is 10/12/2018 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	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	207QA0401X	Family Medicine	Addiction Medicine	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	ZZZ00439Z	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »