Organization
M A C T HEALTH BOARD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHAWVER ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6258
Entity
Organization
Contact information
Practice address
367 CREEKSIDE DR, BEAR VALLEY, CA 95223-9455
(209) 674-6198
(209) 674-6272
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/15/2026
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