| M A C T Health Board Incorporated | |
|
13975 Mono Way Ste I Sonora CA 95370-2824 | |
| (209) 533-9603 | |
| (209) 533-9604 |
| Full Name | M A C T Health Board Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 13975 Mono Way Ste I, Sonora, California |
| Authorized Official Name and Position | John Shawver Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097546262 |
| 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 13975 Mono Way Ste I Sonora CA 95370-2824 Ph: (209) 533-9603 |
| NPI Number | 1548086820 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548086820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Justin P Liggett Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Morning Star Dr, Sonora, CA 95370 Phone: 209-532-7418 Fax: 209-533-3515 | |
H Charles Mckelvey Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13975 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-2288 Fax: 209-532-2242 | |
James A. Grabow, Dds, Ms, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Morning Star Dr Ste A, Sonora, CA 95370 Phone: 209-532-5788 Fax: 209-532-5834 | |
Charles F. Habekost, D.d.s., Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Sylva Ln Ste F1, Sonora, CA 95370 Phone: 209-533-0132 | |
Grandi Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Morning Star Dr Ste A, Sonora, CA 95370 Phone: 209-532-5788 | |
Abhijit Gune Dds A Professional Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13955 Mono Way Ste B, Sonora, CA 95370 Phone: 209-532-2288 | |
Richard D. Emery Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13975 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-2288 Fax: 209-532-2242 |