# MARK TWAIN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARK TWAIN MEDICAL CENTER
- **Other names:** Family Medical Center - San Andreas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205002938
- **Legal business name:** MARK TWAIN MEDICAL CENTER
- **Authorized official:** CHRIS ROBERTS (CFO)
- **Authorized official phone:** (209) 754-2614

## Contact information

- **Practice address:** 704 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
- **Practice address phone:** (209) 754-3521
- **Mailing address:** 768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
- **Mailing address phone:** (209) 754-3521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 05/12/2016