Organization · Type 2 NPI

M A C T Health Board Incorporated

Multi-Specialty Clinic/Center · Ione, CA

NPI number 1285215400 Active

Practice location

305 Preston Ave
Ione, CA 95640-9158

Call (209) 754-6262 Map

Fax (209) 754-6275

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Community Health Worker	172V00000X	None listed
Clinic/Center	261Q00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

4 other providers at this address

NPI record

NPI: 1285215400
Entity type: Organization (Type 2)
Issued: Apr 19, 2021
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of Mact Health Board Incorporated

Other names

<unavail>
Mact Medical, Ione · doing business as
Mact Medical, Ione · 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 1285215400

M A C T Health Board Incorporated's National Provider Identifier is 1285215400, issued on Apr 19, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ione, CA. The record was last updated on Jun 12, 2025.