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 Dental, Sonora
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) 754-6262
Entity
Organization
Contact information
Practice address
13975 MONO WAY STE I, SONORA, CA 95370-2824
(209) 533-9603
(209) 533-9604
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 736-1814
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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