NPIMap

Organization Active NPI

Mark Twain Health Care District

Doing business as Valley Springs Health & Wellness Center

  • Rural Health Clinic/Center
  • Valley Springs, CA
National Provider Identifier
1306311329
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARK TWAIN HEALTH CARE DISTRICT
Doing business as
Valley Springs Health & Wellness Center
Practice address
51 Wellness Way
Valley Springs, CA 95252-0051
Phone
(209) 772-7070
Fax
(209) 772-1011
NPI assigned
Oct 5, 2018
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Deborah Salom, DONPI 1619947454
Title
Medical Director
Phone
(209) 772-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

51 Wellness Way
Valley Springs, CA 95252-0051

Mailing address

PO Box 95
San Andreas, CA 95249-0095
Phone (209) 754-4468

Other names 1

  • Valley Springs Health & Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200420001390 CA Part A Provider - Rural Health Clinic 7810327657 Practice locations: Valley Springs, CA
O20200818003005 CA Part B Supplier - Clinic/Group Practice 7810327657 Receives reassigned benefits from 17 practitioners
Practice locations: Valley Springs, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306311329. Details of each certification follow.

Rural health clinic certification: CCN 558901

Legal name
MARK TWAIN HEALTH CARE DISTRICT
Doing business as
VALLEY SPRINGS HEALTH & WELLNESS CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 3, 2020
Last certification
Apr 3, 2020
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
51 Wellness Way
Valley Springs, CA 95252-9736

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2165913Valley Springs Health51 Wellness Way, Valley Springs, CA 95252Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

51 Wellness Way
Valley Springs, CA 95252
Phone (209) 772-7070

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda Reed Individual Corporate DirectorBoard Member Jan 1, 2006
Talibah Al-Rafiq Individual Corporate DirectorBoard Member Jul 20, 2017
Ann Radford Individual Corporate DirectorBoard Secretary Jan 1, 2015
Randall W Smart Individual Corporate OfficerCeo Sep 1, 2018 100%
W-2 Managing EmployeeCeo Sep 1, 2018 100%
Operational/Managerial ControlCeo Sep 1, 2018 100%
Susan Atkinson Individual Corporate DirectorDirector Mar 7, 2016
Mark Twain Health Care District Organization, San Andreas, CA 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%
Operational/Managerial Control Sep 1, 2018 100%
Kathy S Toepel Individual Corporate DirectorBoard Member Dec 4, 2019
Debbie L Sellick Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Randall Smart, M.D.
    • Internal Medicine Physician
    • Murphys, CA
    • NPI 1487681409

    Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mark Twain Medical CenterSan Andreas, CA, CCN 05Z332 Hospital 5% Or Greater Direct Ownership Interest (1%) Feb 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1306311329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952490095",
            "telephone_number": "209-754-4468",
            "fax_number": "209-754-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952520051",
            "telephone_number": "209-772-7070",
            "fax_number": "209-772-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TWAIN HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "SALOM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-772-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Springs Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Springs, CA

Sources for this page

Verify at the official NPI Registry.