Organization · Type 2 NPI
M A C T Health Board Incorporated
Clinic/Center · Jackson, CA
NPI number
1295727287
Active
Practice location
12140/12150 New York Ranch Rd
Jackson, CA 95642-9407
Fax (209) 257-2403
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 Primary | 261Q00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | 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).
About NPI 1295727287
M A C T Health Board Incorporated's National Provider Identifier is 1295727287, issued on Aug 17, 2005. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jackson, CA. The record was last updated on Jun 12, 2025.