Organization · Type 2 NPI

M A C T Health Board, Incorporated

Clinic/Center · San Andreas, CA

NPI number 1346410255 Active

Practice location

1113 Hwy 49
San Andreas, CA 95249-9583

Call (209) 755-1400 Map

Fax (209) 755-1430

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	550000678 (CA)
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Rural Health Clinic/Center	261QR1300X	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).

5 other providers at this address

Other clinic/center providers in San Andreas

County of CalaverasClinic/Center San Andreas, CA NPI 1467302083

See all in San Andreas →

NPI record

NPI: 1346410255
Entity type: Organization (Type 2)
Issued: Mar 6, 2008
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of Mact Health Board, Inc.

Other names

<unavail>
Mact Medical San Andreas · doing business as

Authorized official

Mr. John Alexander
Executive Director
(209) 754-6262

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 1346410255

M A C T Health Board, Incorporated's National Provider Identifier is 1346410255, issued on Mar 6, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Andreas, CA. The record was last updated on Jun 12, 2025.