Organization
MARK TWAIN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB LEWIS (CFO)
(209) 754-3521
Entity
Organization
Contact information
Practice address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-3521
(209) 754-2652
Mailing address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-3521
(209) 754-2652
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
LCSW61487
CA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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