M A C T Health Board Incorporated is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Valley Springs, California. The current practice location for M A C T Health Board Incorporated is 1906 Vista Del Lago Dr Ste K, Valley Springs, California. For appointments, you can reach them via phone at
(209) 755-1490. The mailing address for M A C T Health Board Incorporated is Po Box 939, Angels Camp, California and phone number is (209) 754-6262.
M A C T Health Board Incorporated is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1649091109. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(209) 755-1490.
Primary Care Clinic Profile
Full Name | M A C T Health Board Incorporated |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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Location | 1906 Vista Del Lago Dr Ste K, Valley Springs, California |
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Authorized Official Name and Position | John Shawver Alexander (EXECUTIVE DIRECTOR) |
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Authorized Official Contact | 2097546262 |
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Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
M A C T Health Board Incorporated Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | M A C T Health Board Incorporated 1906 Vista Del Lago Dr Ste K Valley Springs CA 95252-9700 Ph: (209) 755-1490 |
NPI Details:
NPI Number | 1649091109 |
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Provider Enumeration Date | 10/17/2024 |
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Last Update Date | 10/17/2024 |
Medical Identifiers
Medical identifiers for M A C T Health Board Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649091109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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