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Marshall Medical Center

Organization Active NPI General Acute Care Hospital · Placerville, CA

NPI 1972503142 · NPPES record last updated Nov 25, 2025

Key facts

NPI
1972503142
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
030000059 (CA)
Legal business name
MARSHALL MEDICAL CENTER
Practice address
1100 Marshall Way
Placerville, CA 95667-6533
Phone
(530) 626-2601
Fax
(530) 622-7853
NPI assigned
Jul 28, 2005
Organization subpart
No

Authorized official

Name
Mrs. Siri Nelson
Title
Ceo
Phone
(530) 626-2763

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 169

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 169

Affiliated clinicians 415

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 415

Medicare Care Compare: Hospital

Listed as
Marshall Medical Center CCN 050254
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0909775Marshall Hospital Poct Laboratory
1100 Marshall Way, Placerville, CA 95667		Certificate of waiverDec 16, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Hospital certification: CCN 050254

Legal name
MARSHALL MEDICAL CENTER
Doing business as
MARSHALL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 2020
Beds
111
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Mar 21, 1957 in CA
Enrollment address
1100 Marshall Way
Placerville, CA 95667-6533
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Sylvia Doane-Stephenson
Individual 		Corporate Director
Board of Director		 Jun 27, 2024 6.66%
Leanne M Camisa
Individual 		Corporate Director
Chief of Staff		 Jan 1, 2025 6.66%
Brian Keith Veerkamp
Individual 		Corporate Director
Board of Director		 Mar 31, 2020 6.66%
Jon Christian Haugaard
Individual 		Corporate Director
Board Chair		 Mar 31, 2018 6.66%
John Rodman Knight
Individual 		Corporate Director
Treasurer/Secretary		 Mar 31, 2020 6.66%
Siri Nelson
Individual 		Corporate Officer
Ceo		 Jan 1, 2020 25%
W-2 Managing Employee
Ceo		 Jan 1, 2020
Kim Stoll
Individual 		Corporate Director
Board of Directors		 Mar 31, 2023 6.66%
Anna-Nicole M Blair
Individual 		Corporate Director
Board of Directors		 Mar 31, 2023 6.66%
Jonathan Russell
Individual 		Corporate Officer
Chief Ambulatory Officer		 Dec 27, 2020 25%
W-2 Managing Employee
Cao		 Feb 5, 2007
Office of Statewide Health Planning and Development
Organization · Sacramento, CA 		5% Or Greater Mortgage Interest Oct 1, 1986 29.55%
5% Or Greater Security Interest Oct 1, 1986 29.55%
Michael Lewis Purvis
Individual 		Corporate Director
Board of Directors		 Jan 25, 2024 6.66%
Gerardo S Galang
Individual 		Corporate Director
Board of Directors		 Jul 1, 2022 6.66%
Thomas Cumpston
Individual 		Corporate Director
Vice Chair		 Mar 31, 2019 6.66%
US Bank National Association
Organization · Monterey Park, CA
Financial institution 		5% Or Greater Mortgage Interest May 30, 2023 29.55%
5% Or Greater Security Interest May 30, 2023 29.55%
Alexis F Long
Individual 		Corporate Director
Board of Director		 Mar 25, 2021 6.66%
Cynthia Anne Rice
Individual 		Corporate Officer
Chief Nursing Officer		 Dec 10, 2021 25%
W-2 Managing Employee
Cno		 Aug 14, 2021

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Divide Wellness Center
Georgetown, CA · CCN 058514		 Rural health clinic Operational/Managerial Control Jun 1, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071214000243 CA Part a Provider - Hospital 7517875859 Practice locations: Placerville, CA; El Dorado Hills, CA; Cameron Park, CA
O20220428001467 CA Part B Supplier - Intensive Cardiac Rehabilitation 7517875859 Receives reassigned benefits from 1 practitioner
Practice locations: Placerville, CA

National Provider Directory

Tax ID family
Marshall Ctr for Primar (18 organizations share this tax ID)

Locations

681 Main St
Ste 102
Placerville, CA 95667

1050 Marshall Way
Placerville, CA 95667

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 030000059 CA Yes

Addresses

Primary practice location

1100 Marshall Way
Placerville, CA 95667-6533

Mailing address

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2763

Other identifiers

IdentifierTypeStateIssuer
ZZR00254FMedicaidCA
HSP40254FMedicaidCA

Other providers in Placerville, CA

All providers in Placerville, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.