MARK TWAIN MEDICAL CENTER NPI 1790846301

NPI Information

MARK TWAIN MEDICAL CENTER is a rural health clinic center in Arnold, CA. MARK TWAIN MEDICAL CENTER NPI is 1790846301. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medical Center - Arnold.

The provider's business location address is:

2182 HIGHWAY 4
SUITE A-100
ARNOLD, CA
ZIP 95223-908
Phone: (209) 795-4193
Fax: (209) 795-0828

The provider's authorized official is Chris Roberts .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 754-2614.

The CLIA number assigned to this NPI record is 05D0969807 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/12/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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