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MARSHALL EL DORADO ENDSCOPY CENTER NPI 1629142708


NPI Information

NPI: 1629142708
Provider Name: MARSHALL EL DORADO ENDSCOPY CENTER
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 05D0614469

Address:
1100 MARSHALL WAY
ATTN KAREN D BILLING
PLACERVILLE, CA
ZIP 95667
Phone: (530) 626-2789
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MARSHALL EL DORADO ENDSCOPY CENTER is an endoscopy clinic center in Placerville, CA. MARSHALL EL DORADO ENDSCOPY CENTER NPI is 1629142708. The provider is registered as an organization entity type.

The provider's business location address is:

1100 MARSHALL WAY
ATTN KAREN D BILLING
PLACERVILLE, CA
ZIP 95667-533
Phone: (530) 626-2789
Fax: (530) 626-2833

The provider's authorized official is James Whipple .
The authorized official title is Ceo and has the following contact phone number (530) 622-1441.

The CLIA number assigned to this NPI record is 05D0614469 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.


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
1261QE0800XClinic/CenterEndoscopyZZZ25449ZCALIFORNIAYes

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

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.