# MARSHALL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divide Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346226693
- **Authorized official:** MARTIN ENTWISTLE (INTERIM CEO)
- **Authorized official phone:** (530) 626-2868

## Contact information

- **Practice address:** 6065 STATE HWY 193, GEORGETOWN, CA 95634-9623
- **Practice address phone:** (530) 333-2555
- **Practice address fax:** (530) 333-2832
- **Mailing address:** PO BOX 45680, SAN FRANCISCO, CA 94145-0680
- **Mailing address phone:** (530) 333-2555
- **Mailing address fax:** (530) 333-2832

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 09/29/2026