MEDICARE: MARSHALL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1972309326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1100 MARSHALL WAY
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-6533
Country	:	US
Telephone Number	:	530-622-1441
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 TOWN CENTER BLVD BLDG D
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-7100
Country	:	US
Telephone Number	:	530-344-5464
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SIRI NELSON
Credential	:
Telephone Number	:	530-626-2658

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/04/2026

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Directions to “MARSHALL MEDICAL CENTER ” Practice Location

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