Organization · Type 2 NPI
M A C T Health Board Incorporated
Federally Qualified Health Center (FQHC) · Valley Springs, CA
NPI number
1649091109
Active
Practice location
1906 Vista Del Lago Dr Ste K
Valley Springs, CA 95252-9700
Fax (209) 459-4054
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 | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
Other federally qualified health center (fqhc) providers in Valley Springs
About NPI 1649091109
M A C T Health Board Incorporated's National Provider Identifier is 1649091109, issued on Oct 17, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Valley Springs, CA. The record was last updated on Jun 12, 2025.