MARK TWAIN MEDICAL CENTER (NPI# 1205002938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205002938 |
| Entity Type | Organization |
| Organization Name | MARK TWAIN MEDICAL CENTER |
| Other Organization Name | FAMILY MEDICAL CENTER - SAN ANDREAS |
| Practice Address |
704 Mountain Ranch Rd San Andreas CA 95249-9707 |
| Mailing Address |
768 Mountain Ranch Rd San Andreas CA 95249-9707 |
| Practice Telephone | 2097543521 |
| Mailing Telephone | 2097543521 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | CHRIS ROBERTS (CFO) |
| Authorized Official Telephone | 2097542614 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARK TWAIN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medical Center - San Andreas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942362561 | Mark Twain Medical Center | Clinic/Center | 590 Stanislaus Avenue, Angels Camp, CA 95222-0000 | 2006-12-14 |
| 1588725196 | Mark Twain Medical Center | Clinic/Center | 3505 Spangler Ln, Suite 400, Copperopolis, CA 95228-9583 | 2006-12-13 |
| 1255730545 | Mark Twain Medical Center | Clinic/Center | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2014-08-22 |
| 1790846301 | Mark Twain Medical Center | Clinic/Center | 2182 Highway 4, Suite A-100, Arnold, CA 95223-9908 | 2006-12-13 |
| 1821159443 | Mark Twain Medical Center | Clinic/Center | 1919 Vista Del Lago Dr, Valley Springs, CA 95252-9294 | 2006-12-13 |
| 1508968819 | Mark Twain Medical Center | General Acute Care Hospital | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2006-09-05 |
| Street Address |
704 MOUNTAIN RANCH RD |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336261106 | Maria Z Michnowska | Internal Medicine | 704 Mountain Ranch Rd, Suite 103, San Andreas, CA 95249-0000 | 2007-04-04 |
| 1316336746 | Karen Karam | Social Worker | 704 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2015-01-22 |
| 1457603664 | San Andreas Sleep Disorders Medical Group, Inc | Internal Medicine | 704 Mountain Ranch Rd, Suite 205, San Andreas, CA 95249-9707 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255730545 | Mark Twain Medical Center | Clinic/Center | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2014-08-22 |
| 1013220052 | Mountain Oak Health Centers | Clinic/Center | 556 Mountain Ranch Road, San Andreas, CA 95249-0536 | 2010-07-20 |
| 1346410255 | Mact Health Board, Inc. | Clinic/Center | 1113 Hwy 49, San Andreas, CA 95249-9583 | 2008-03-06 |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
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| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
Please comment or provide details below to improve the information on MARK TWAIN MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.