Organization · Type 2 NPI
M A C T Health Board, Incorporated
Federally Qualified Health Center (FQHC) · Bear Valley, CA
NPI number
1508724337
Active
Practice location
367 Creekside Dr
Bear Valley, CA 95223-9455
Fax (209) 674-6272
Mailing address
PO Box 939
Angels Camp, CA 95222-0939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1508724337
M A C T Health Board, Incorporated's National Provider Identifier is 1508724337, issued on Jan 12, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bear Valley, CA. The record was last updated on Jan 15, 2026.