Organization · Type 2 NPI

M A C T Health Board, Incorporated

Federally Qualified Health Center (FQHC) · Jackson, CA

NPI number 1316850001 Active

Practice location

11333 Prospect Dr
Jackson, CA 95642-9311

Fax (209) 660-2040

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1316850001

M A C T Health Board, Incorporated's National Provider Identifier is 1316850001, issued on Sep 24, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jackson, CA. The record was last updated on Sep 24, 2026.