# COARSEGOLD CREEK MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629646161
- **Authorized official:** DR. STEPHEN DAHLIN DC (OWNER)
- **Authorized official phone:** (559) 683-6292

## Contact information

- **Practice address:** 35463 HIGHWAY 41, COARSEGOLD, CA 93614-8722
- **Practice address phone:** (559) 683-6292
- **Mailing address:** PO BOX 970, COARSEGOLD, CA 93614-0970
- **Mailing address phone:** (559) 683-6292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 06/11/2021
- **Last updated:** 06/11/2021