Family Medical Center - Copperopolis

LBN: Mark Twain Medical Center
Family Medical Center - Copperopolis is an health care organization with primary practice located at 430 Sawmill Creek Rd , Copperopolis CA 95228. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mark Twain Medical Center can be contacted via phone (209) 785-0000, or through Ochoa, Nikki via phone (209) 467-6442.

Contact Information

Primary practice address
430 Sawmill Creek Rd Copperopolis CA 95228
Fax: (209) 785-7085
Website:
Authorized official contact:
Name: Ochoa, Nikki

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 030000058 California

Profile Details

NPI number 1588725196
LBN Legal business name Mark Twain Medical Center
DBA Doing business as Family Medical Center - Copperopolis
Authorized official Ochoa, Nikki
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2006
Last updated Aug 24th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588725196 NPPES
Other ========= WPS TRICARE
Other ========= WPS TRICARE
MEDICAID RHM08548F WPS TRICARE
Other ZZZ61268Z WPS TRICARE

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