Organization
M A C T HEALTH BOARD INCORPORATED
Active
Organization
M A C T HEALTH BOARD INCORPORATED
Active
Parent organization
MACT HEALTH BOARD INCORPORATED
Other names
MACT Medical Jackson
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACT HEALTH BOARD INCORPORATED
Authorized official
MR. JOHN ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6262
Entity
Organization
Contact information
Practice address
12140/12150 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2400
(209) 257-2403
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 754-6274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP70776F
—
CA
Enumeration date
08/17/2005
Last updated
06/12/2025
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