| Marshall Medical Center | |
|
3581 Palmer Dr Ste 202 Cameron Park CA 95682-8237 | |
| (530) 672-7000 | |
| Not Available |
| Full Name | Marshall Medical Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3581 Palmer Dr Ste 202, Cameron Park, California |
| Authorized Official Name and Position | Kim Sanguinetti-weishaar (PROVIDER CREDENTIALING) |
| Authorized Official Contact | 5306262770 |
| 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) 626-2618 | Marshall Medical Center 3581 Palmer Dr Ste 202 Cameron Park CA 95682-8237 Ph: (530) 672-7000 |
| NPI Number | 1356904577 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356904577 | NPI | - | NPPES |
| ZZZ00439Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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