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

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