Organization
M A C T HEALTH BOARD INCORPORATED
Active
Organization
M A C T HEALTH BOARD INCORPORATED
Active
Parent organization
M A C T HEALTH BOARD INCORPORATED
Other names
MACT Medical Sonora
Organization subpart
Yes
Provider details
NPI number
Legal business name
M A C T HEALTH BOARD INCORPORATED
Authorized official
JOHN ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6262
Entity
Organization
Contact information
Practice address
905 MORNING STAR DR, SONORA, CA 95370-9249
(209) 533-9600
(209) 533-9608
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
030000704
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/17/2005
Last updated
06/24/2025
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