Organization
M A C T HEALTH BOARD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6258
Entity
Organization
Contact information
Practice address
1113A HIGHWAY 49, SAN ANDREAS, CA 95249
(209) 755-1460
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
06/12/2025
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