MARSHALL MEDICAL CENTER NPI 1346226693

NPI Information

  • NPI: 1346226693
  • Provider Name: MARSHALL MEDICAL CENTER
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: DIVIDE WELLNESS CENTER
  • CLIA Number: 05D0988292
  • Address: 6065 STATE HWY 193
    GEORGETOWN, CA
    ZIP 95634
  • Phone: (530) 333-2555

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NPI Details

MARSHALL MEDICAL CENTER is a rural health clinic center in Georgetown, CA. MARSHALL MEDICAL CENTER NPI is 1346226693. The provider is registered as an organization entity type.
The provider Is Doing Business As Divide Wellness Center.

The provider's business location address is:

6065 STATE HWY 193
GEORGETOWN, CA
ZIP 95634-623
Phone: (530) 333-2555
Fax: (530) 333-2832

The provider's authorized official is Laurie Eldridge .
The authorized official title is Chief Financial Officer and has the following contact phone number (530) 626-2780.

The CLIA number assigned to this NPI record is 05D0988292 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2005 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 Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

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: 11/21/2025

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