# MARK TWAIN MEDICAL CENTER

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

## Provider details

- **NPI number:** 1588725196
- **Legal business name:** MARK TWAIN MEDICAL CENTER
- **Authorized official:** NIKKI OCHOA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (209) 467-6442

## Contact information

- **Practice address:** 430 SAWMILL CREEK RD, COPPEROPOLIS, CA 95228
- **Practice address phone:** (209) 785-0000
- **Practice address fax:** (209) 785-7085
- **Mailing address:** 768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
- **Mailing address phone:** (209) 785-7000
- **Mailing address fax:** (209) 785-7025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 030000058 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/24/2021