| Mark Twain Health Care District | |
|
51 Wellness Way Valley Springs CA 95252-0051 | |
| (209) 772-7070 | |
| (209) 772-1011 |
| Full Name | Mark Twain Health Care District |
|---|---|
| Speciality | Clinic/Center |
| Location | 51 Wellness Way, Valley Springs, California |
| Authorized Official Name and Position | Randy Smart (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097287711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Twain Health Care District Po Box 95 San Andreas CA 95249-0095 Ph: (209) 754-4468 | Mark Twain Health Care District 51 Wellness Way Valley Springs CA 95252-0051 Ph: (209) 772-7070 |
| NPI Number | 1306311329 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 7810327657 |
|---|---|
| Medicare Enrollment ID | O20200420001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306311329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Benedicto M. Estoesta M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 S Highway 26 Ste 1, Valley Springs, CA 95252 Phone: 209-772-8906 Fax: 209-772-8950 |