Organization
M A C T HEALTH BOARD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6262
Entity
Organization
Contact information
Practice address
1113 HIGHWAY 49, SAN ANDREAS, CA 95249
(209) 755-1400
(209) 755-1430
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 674-6211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
261Q00000X
Clinic/Center
550000678
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
01/29/2026
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