institution
Mark Twain Medical Center
Rural Health Clinic/Center in Angels Camp, California
NPI 1942362561

Mark Twain Medical Center is a Rural Health Clinic/Center based in San Andreas, CA and is specialized in Rural Health. Mark Twain Medical Center practices in Angels Camp, CA. The NPI Number for Mark Twain Medical Center is 1942362561 and holds a License No. 030000058 (California).

The current practice location address for Mark Twain Medical Center is 590 Stanislaus Avenue, Angels Camp, CA and can be reached out via phone at 209-736-0813 and via fax at 209-736-9088.

Location: 590 Stanislaus Avenue, Angels Camp, CA, 95249-9707
institution
Provider Profile Details
NPI Number
1942362561
Provider Name
Mark Twain Medical Center
Credential
Provider Entity Type
Organization
Address
590 Stanislaus Avenue, Angels Camp, CA, 95249-9707
Phone Number
209-736-0813
Fax Number
209-736-9088
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
========= 01 IRS - TAX ID
RHM18574F 05 CA
========= 01 WPS TRICARE
ZZZ61267Z 01 BLUE SHIELD OF CA
institution
Provider Business Practice Location Address Details
Address
590 Stanislaus Avenue
City
State
Zip
95222-0000
Phone Number
209-736-0813
Fax Number
209-736-9088
person
Provider Business Mailing Address Details
Address
590 Stanislaus Avenue
City
State
Zip
95222-0000
Phone Number
209-736-0813
Fax Number
209-736-9088
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
030000058 (California)
Definition
Definition to come...
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