Organization
MARSHALL MEDICAL CENTER
Active
Parent organization
MARSHALL MEDICAL CENTER
Other names
Center for Sports Rehabilitation and Active Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL MEDICAL CENTER
Authorized official
SIRI NELSON (CEO)
(530) 626-2658
Entity
Organization
Contact information
Practice address
4201 TOWN CENTER BLVD BLDG D, EL DORADO HILLS, CA 95762-7100
(530) 344-5464
Mailing address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 622-1441
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/04/2026
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