| M A C T Health Board, Incorporated | |
|
5204 Hospital Rd Mariposa CA 95338-9524 | |
| (209) 966-0573 | |
| (209) 742-6321 |
| Full Name | M A C T Health Board, Incorporated |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5204 Hospital Rd, Mariposa, 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 |
|---|---|
| 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 5204 Hospital Rd Mariposa CA 95338-9524 Ph: (209) 966-0573 |
| NPI Number | 1497447916 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497447916 | NPI | - | NPPES |
| 1366519431 | Other | CA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Yosemite Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5371 State Highway 49 N, Mariposa, CA 95338 Phone: 209-742-7788 |