| Mact Medical Mariposa | |
|
5192 Hospital Rd Mariposa CA 95338-9524 | |
| (209) 742-5055 | |
| (209) 742-6144 |
| Full Name | Mact Medical Mariposa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5192 Hospital Rd, Mariposa, California |
| Authorized Official Name and Position | John Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097546262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mact Medical Mariposa Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | Mact Medical Mariposa 5192 Hospital Rd Mariposa CA 95338-9524 Ph: (209) 742-5055 |
| NPI Number | 1740272731 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 11/16/2022 |
| Medicare PECOS PAC ID | 8325936974 |
|---|---|
| Medicare Enrollment ID | O20170324000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740272731 | NPI | - | NPPES |
| THP70732F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 040000459 (California) | Primary |
| 261QC1500X | Clinic/center - Community Health | 040000459 (California) | Secondary |
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John C Fremont Hlthcare Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5186 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
Camarena Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5082 Old Hwy N, Mariposa, CA 95338 Phone: 559-664-4000 Fax: 559-675-5625 | |
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John C Fremont Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
John C. Fremont Healthcare District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
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