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Organization
MARSHALL MEDICAL CENTER
Active
Organization
MARSHALL MEDICAL CENTER
Active
Other names
Marshall Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN ENTWISTLE (INTERIM CEO)
(530) 626-2868
Entity
Organization
Contact information
Practice address
4341 GOLDEN CENTER DR, SUITE A, PLACERVILLE, CA 95667-6260
(530) 626-1144
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
030000059
CA
261QR1300X
Rural Health Clinic/Center
Primary
—
CA
Other
Enumeration date
12/17/2013
Last updated
09/29/2026
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