| Mark Twain Medical Center | |
|
704 Mountain Ranch Rd San Andreas CA 95249-9707 | |
| (209) 754-3521 | |
| Not Available |
| Full Name | Mark Twain Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Mountain Ranch Rd, San Andreas, California |
| Authorized Official Name and Position | Chris Roberts (CFO) |
| Authorized Official Contact | 2097542614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Twain Medical Center 768 Mountain Ranch Rd San Andreas CA 95249-9707 Ph: (209) 754-3521 | Mark Twain Medical Center 704 Mountain Ranch Rd San Andreas CA 95249-9707 Ph: (209) 754-3521 |
| NPI Number | 1205002938 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 8820073711 |
|---|---|
| Medicare Enrollment ID | O20090209000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205002938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Mark Twain Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 Fax: 209-754-2652 | |
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