Organization
M A C T HEALTH BOARD, INCORPORATED
Active
Parent organization
M A C T HEALTH BOARD, INCORPORATED
Other names
MACT Dental, Mariposa
Organization subpart
Yes
Provider details
NPI number
Legal business name
M A C T HEALTH BOARD, INCORPORATED
Authorized official
JOHN SHAWVER ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6258
Entity
Organization
Contact information
Practice address
5204 HOSPITAL RD, MARIPOSA, CA 95338-9524
(209) 966-0573
(209) 742-6321
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 754-6275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366519431
GROUP NPI
CA
Enumeration date
05/23/2023
Last updated
06/12/2025
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