Organization
M A C T HEALTH BOARD, INCORPORATED
Active
Parent organization
MACT HEALTH BOARD, INC.
Other names
MACT Medical San Andreas
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACT HEALTH BOARD, INC.
Authorized official
MR. JOHN ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6262
Entity
Organization
Contact information
Practice address
1113 HWY 49, SAN ANDREAS, CA 95249-9583
(209) 755-1400
(209) 755-1430
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
550000678
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
—
CA
Other
Enumeration date
03/06/2008
Last updated
06/12/2025
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