Family Medical Center - Angels Camp

LBN: Mark Twain Medical Center
Family Medical Center - Angels Camp is an health care organization with primary practice located at 590 Stanislaus Avenue , Angels Camp CA 95222-0000. 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) 736-0813, or through Roberts, Chris via phone (209) 754-2614.

Contact Information

Primary practice address
590 Stanislaus Avenue Angels Camp CA 95222-0000
Phone: (209) 736-0813
Fax: (209) 736-9088
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Chris
Phone: (209) 754-2614

Health care specialties

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

Profile Details

NPI number 1942362561
LBN Legal business name Mark Twain Medical Center
DBA Doing business as Family Medical Center - Angels Camp
Authorized official Roberts, Chris
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jun 9th, 2020 - about 5 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 1942362561 NPPES
Other ========= IRS - TAX ID
MEDICAID RHM18574F IRS - TAX ID
Other ========= IRS - TAX ID
Other ZZZ61267Z IRS - TAX ID

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