Organization · Type 2 NPI

M A C T Health Board, Incorporated

Federally Qualified Health Center (FQHC) · Jackson, CA

NPI number 1669385258 Active

Practice location

11321 Prospect Dr Ste 6
Jackson, CA 95642-9390

Fax (209) 660-2040

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...

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About NPI 1669385258

M A C T Health Board, Incorporated's National Provider Identifier is 1669385258, issued on Sep 24, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jackson, CA. The record was last updated on Sep 24, 2026.