M A C T Health Board, Incorporated is a
Clinic/center - Federally Qualified Health Center (fqhc) based in Sutter Creek, California. M A C T Health Board, Incorporated is licensed to practice in * (Not Available) (license number ) and their current practice location is
321 Highway 49, Sutter Creek, California. It can be reached at their office (for appointments etc.) via phone at
(209) 257-2480.
NPI number for M A C T Health Board, Incorporated is 1417741869 and their current mailing address is Po Box 939, Angels Camp, California. M A C T Health Board, Incorporated
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1417741869.
Healthcare Provider's Profile
| Full Name | M A C T Health Board, Incorporated |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 321 Highway 49, Sutter Creek, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417741869
- Provider Enumeration Date: 04/08/2025
- Last Update Date: 07/11/2025
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 |
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| 1417741869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. M A C T Health Board, Incorporated is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
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
321 Highway 49,
Sutter Creek, CA 95685-4157
Ph: (209) 257-2480 |
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