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Organization

MARSHALL MEDICAL CENTER

Active
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Organization

MARSHALL MEDICAL CENTER

Active
Parent organization
MARSHALL MEDICAL CENTER
Other names
Center for Sports Rehabilitation and Active Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARSHALL MEDICAL CENTER
Authorized official
MARTIN ENTWISTLE (INTERIM CEO)
(530) 626-2868
Entity
Organization

Contact information

Practice address
4201 TOWN CENTER BLVD BLDG D, EL DORADO HILLS, CA 95762-7100
(530) 344-5464
Mailing address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 622-1441

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—

Other

Enumeration date
02/24/2025
Last updated
09/25/2026
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