| Organization Name: | MARK TWAIN MEDICAL CENTER |
| NPI Number: | 1821159443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS ROBERTS (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1919 Vista Del Lago Dr Valley Springs |
| State: | CA US |
| Postal Code: | 952529294 |
| Phone Number: | 2097729538 |
| Fax Number: | 2097720312 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 030000058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |