Organization
MARK TWAIN ST. JOSEPH'S HOSPITAL
Active
Organization
MARK TWAIN ST. JOSEPH'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY SHELDEN MS (DIRECTOR OF MEDICAL STAFF)
(209) 754-3521
Entity
Organization
Contact information
Practice address
1919 VISTA DEL LAGO, VALLEY SPRINGS, CA 95252
(209) 772-9538
Mailing address
768 MT RANCH RD., SAN ANDREAS, CA 95249
(209) 754-3521
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
19190
CA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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