Organization · Type 2 NPI

M A C T Health Board Incorporated

Federally Qualified Health Center (FQHC) · Sonora, CA

NPI number 1871233692 Active

Practice location

13975 Mono Way Ste G
Sonora, CA 95370-2824

Call (209) 288-6502 Map

Fax (209) 674-3910

Mailing address

PO Box 939
Angels Camp, CA 95222-0939

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Gynecology Physician 207VG0400XNone listed
Clinic/Center 261Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Rural Health Clinic/Center 261QR1300XNone listed

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

6 other providers at this address

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About NPI 1871233692

M A C T Health Board Incorporated's National Provider Identifier is 1871233692, issued on Mar 30, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sonora, CA. The record was last updated on Jul 29, 2026.