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Organization

M A C T HEALTH BOARD INCORPORATED

Active
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Organization

M A C T HEALTH BOARD INCORPORATED

Active
Parent organization
M A C T HEALTH BOARD INCORPORATED
Other names
MACT Behavioral Health, Valley Springs
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
1906 VISTA DEL LAGO DR STE K, VALLEY SPRINGS, CA 95252-9700
(209) 755-1490
(209) 459-4054
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 736-1814

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
10/17/2024
Last updated
06/12/2025
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