Organization
MARSHALL MEDICAL CENTER
Active
Other names
Divide Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI NELSON (CEO)
(530) 622-1441
Entity
Organization
Contact information
Practice address
6065 STATE HWY 193, GEORGETOWN, CA 95634-9623
(530) 333-2555
(530) 333-2832
Mailing address
PO BOX 45680, SAN FRANSISCO, CA 94145-0680
(530) 333-2555
(530) 333-2832
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2005
Last updated
03/09/2026
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