| Marshall Medical Center | |
|
1045 Marshall Way Placerville CA 95667-5721 | |
| (530) 622-8204 | |
| (530) 622-8205 |
| Full Name | Marshall Medical Center |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1045 Marshall Way, Placerville, California |
| Authorized Official Name and Position | Laurie Eldridge (CFO) |
| Authorized Official Contact | 5306221441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Medical Center Po Box 45680 San Francisco CA 94145-0680 Ph: (530) 626-2787 | Marshall Medical Center 1045 Marshall Way Placerville CA 95667-5721 Ph: (530) 622-8204 |
| NPI Number | 1073088316 |
|---|---|
| Provider Enumeration Date | 10/12/2018 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073088316 | NPI | - | NPPES |
| ZZZ00439Z | Medicaid | CA |
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