MARK TWAIN ST. JOSEPH'S HOSPITAL (NPI# 1285936807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285936807 |
| Entity Type | Organization |
| Organization Name | MARK TWAIN ST. JOSEPH'S HOSPITAL |
| Practice Address |
1919 Vista Del Lago Valley Springs CA 95252 |
| Mailing Address |
768 Mt Ranch Rd. San Andreas CA 95249 |
| Practice Telephone | 2097729538 |
| Mailing Telephone | 2097543521 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | MR. ROY SHELDEN (DIRECTOR OF MEDICAL STAFF) |
| Authorized Official Telephone | 2097543521 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
19190 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARK TWAIN ST JOSEPH'S HOSPITAL | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 |
| Street Address |
1919 VISTA DEL LAGO |
| City | VALLEY SPRINGS |
| State | CA |
| Zip Code | 95252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962772335 | Melanie Ann Yurkovich | Nurse Practitioner | 1919 Vista Del Lago, Valley Springs, CA 95252-9294 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760669717 | James M Cudziol | Marriage & Family Therapist | 1979 Berkesey Ln, Valley Springs, CA 95252 | 2008-01-22 |
| 1053495150 | Emily Mcclintic Jacobs | Social Worker | 10 B Vista Del Lago, Suite #3, Valley Springs, CA 95252 | 2006-10-25 |
| 1922041250 | Longs Drug Stores California LLC | Pharmacy | 200 Ehighway 12, Bldg D, Valley Springs, CA 95252 | 2006-06-14 |
| 1346224789 | John Nguyen | Pharmacist | 1906 Vista Del Lago Dr., Suite G, Valley Springs, CA 95252 | 2005-11-30 |
| 1417956004 | Petre P Motiu | Obstetrics & Gynecology | 52 Laurel St, Valley Springs, CA 95252 | 2005-07-18 |
| 1043864564 | Brandi Gomez | Nurse Practitioner | 51 Wellness Way, Valley Springs, CA 95252 | 2019-08-01 |
| 1306311329 | Mark Twain Health Care District | Clinic/Center | 51 Wellness Way, Valley Springs, CA 95252-0051 | 2018-10-05 |
| 1639395163 | Amanda G Leonard | Massage Therapist | 145 Mangili Rd, Valley Springs, CA 95252-8400 | 2007-04-17 |
| 1962439463 | Pacific Heart and Vascular Medical Group | Internal Medicine | 55 S Highway 26, Suite 1, Valley Springs, CA 95252-8422 | 2006-06-28 |
| 1538157953 | Benedicto M. Estoesta M.d. Inc | Family Medicine | 55 S Highway 26 Ste 1, Valley Springs, CA 95252-8422 | 2005-10-10 |
| Find all providers in zip 95252 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
| City | VALLEY SPRINGS |
| Zip Code | 95252 |
Please comment or provide details below to improve the information on MARK TWAIN ST. JOSEPH'S HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.