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Organization
MARSHALL MEDICAL CENTER
Active
Organization
MARSHALL MEDICAL CENTER
Active
Other names
Marshall Family Medicine Placerville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIRI NELSON (CEO)
(530) 626-2601
Entity
Organization
Contact information
Practice address
1095 MARSHALL WAY, SUITE 100, PLACERVILLE, CA 95667-5722
(530) 626-2920
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
207R00000X
Internal Medicine Physician
—
CA
207RG0100X
Gastroenterology Physician
—
—
2084P0800X
Psychiatry Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT1847
RAILROAD MEDICARE
CA
Enumeration date
09/11/2006
Last updated
09/22/2025
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