Organization
M A C T HEALTH BOARD INCORPORATED
Active
Other names
MACT Sonora Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHAWVER ALEXANDER (EXECUTIVE DIRECTOR)
(209) 754-6258
Entity
Organization
Contact information
Practice address
13975 MONO WAY STE G, SONORA, CA 95370-2824
(209) 288-6502
(209) 674-3910
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
207VG0400X
Gynecology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/30/2022
Last updated
01/29/2026
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