| Mact Medical San Andreas | |
|
1113 Hwy 49 San Andreas CA 95249-9583 | |
| (209) 755-1400 | |
| (209) 755-1430 |
| Full Name | Mact Medical San Andreas |
|---|---|
| Speciality | Clinic/Center |
| Location | 1113 Hwy 49, San Andreas, 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 San Andreas Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | Mact Medical San Andreas 1113 Hwy 49 San Andreas CA 95249-9583 Ph: (209) 755-1400 |
| NPI Number | 1346410255 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8325936974 |
|---|---|
| Medicare Enrollment ID | O20090212000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346410255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 550000678 (California) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (California) | Secondary |
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Family Medical Center - San Andreas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 | |
Mark Twain Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 Fax: 209-754-2652 | |
Gold Rush Inpatient Services, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 | |
M A C T Health Board Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 Highway 49, San Andreas, CA 95249 Phone: 209-754-6262 Fax: 209-674-6211 |