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NPI Code Detail

MEDICARE: MARSHALL MEDICAL CENTER

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
1282N00000XGeneral Acute Care Hospital030000059CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972503142
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 : 530-626-2763
Fax Number : 530-622-7853
Provider Business Practice Location Address
First Line : 1100 MARSHALL WAY
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6533
Country : US
Telephone Number : 530-626-2601
Fax Number : 530-622-7853
Authorized Official
Title or Position : CEO
Name : MRS. SIRI NELSON
Credential :
Telephone Number : 530-626-2763
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/25/2025

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Directions to “MARSHALL MEDICAL CENTER ” Practice Location

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