| Mact Medical Sonora | |
|
13975 Mono Way Suite G, H & I Sonora CA 95370-2824 | |
| (209) 533-9600 | |
| (209) 533-9608 |
| Full Name | Mact Medical Sonora |
|---|---|
| Speciality | Clinic/Center |
| Location | 13975 Mono Way, Sonora, California |
| Authorized Official Name and Position | John Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097546258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mact Medical Sonora Po Box 939 Angels Camp CA 95222-0939 Ph: (209) 754-6262 | Mact Medical Sonora 13975 Mono Way Suite G, H & I Sonora CA 95370-2824 Ph: (209) 533-9600 |
| NPI Number | 1467444364 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8325936974 |
|---|---|
| Medicare Enrollment ID | O20170324000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467444364 | NPI | - | NPPES |
| THP70875F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 030000704 (California) | Primary |
| 261QC1500X | Clinic/center - Community Health | 030000704 (California) | Secondary |
Greenley Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 209-536-2665 Fax: 209-533-7696 | |
Sonora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Foothill Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Pauline Ct, Sonora, CA 95370 Phone: 209-532-5154 Fax: 209-533-7696 | |
Kathy Bosch Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370 Phone: 209-533-4330 Fax: 509-532-5374 | |
Sierra Elder Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 E Jackson St, Sonora, CA 95370 Phone: 209-454-7861 Fax: 209-288-2461 | |
William E. Zachow, D.o. Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 602-790-4221 | |
Sierra Gastroenterology Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Sylva Ln, Bldg. B, Sonora, CA 95370 Phone: 209-532-7281 Fax: 209-532-7381 |