Organization
M A C T HEALTH BOARD INCORPORATED
Active
Organization
M A C T HEALTH BOARD INCORPORATED
Active
Other names
MACT Sonora Pediatric 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
940 SYLVA LN STE B, SONORA, CA 95370-5969
(209) 588-4660
(209) 398-8760
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 588-4660
(209) 398-8760
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
04/25/2022
Last updated
06/12/2025
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