Organization · Type 2 NPI

M A C T Health Board, Incorporated

Clinic/Center · Sonora, CA

NPI number 1033898226 Active

Practice location

940 Sylva Ln Ste H
Sonora, CA 95370-5969

Call (209) 754-6262 Map

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Clinic/Center Primary	261Q00000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Sonora

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NPI record

NPI: 1033898226
Entity type: Organization (Type 2)
Issued: Jul 14, 2023
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of M A C T Health Board, Incorporated

Other names

<unavail>
Mact Optometry, Sonora · doing business as
Mact Optometry, Sonora · doing business as

Authorized official

John Shawver Alexander
Executive Director
(209) 754-6258

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033898226

M A C T Health Board, Incorporated's National Provider Identifier is 1033898226, issued on Jul 14, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Sonora, CA. The record was last updated on Jun 12, 2025.