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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