Organization · Type 2 NPI

M A C T Health Board, Incorporated

Federally Qualified Health Center (FQHC) · Mariposa, CA

NPI number 1497447916 Active

Practice location

5204 Hospital Rd
Mariposa, CA 95338-9524

Call (209) 966-0573 Map

Fax (209) 742-6321

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Dental Clinic/Center	261QD0000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Ali Mohamed, RDHDental Hygienist Mariposa, CA NPI 1285468777

Other federally qualified health center (fqhc) providers in Mariposa

See all in Mariposa →

NPI record

NPI: 1497447916
Entity type: Organization (Type 2)
Issued: May 23, 2023
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of M A C T Health Board, Incorporated

Other names

<unavail>
Mact Dental, Mariposa · doing business as
Mact Dental, Mariposa · 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 1497447916

M A C T Health Board, Incorporated's National Provider Identifier is 1497447916, issued on May 23, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mariposa, CA. The record was last updated on Jun 12, 2025.