# MARSHALL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALL MEDICAL CENTER
- **Other names:** Center for Sports Rehabilitation and Active Living
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972309326
- **Legal business name:** MARSHALL MEDICAL CENTER
- **Authorized official:** MARTIN ENTWISTLE (INTERIM CEO)
- **Authorized official phone:** (530) 626-2868

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 09/25/2026