| Mact Medical, Ione | |
|
305 Preston Ave Ione CA 95640-9158 | |
| (209) 754-6262 | |
| (209) 754-6275 |
| Full Name | Mact Medical, Ione |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 305 Preston Ave, Ione, California |
| Authorized Official Name and Position | John Shawver Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097546258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mact Medical, Ione Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | Mact Medical, Ione 305 Preston Ave Ione CA 95640-9158 Ph: (209) 754-6262 |
| NPI Number | 1285215400 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285215400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Primemed Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Preston Ave, Ione, CA 95640 Phone: 209-274-2183 Fax: 209-339-7659 |