| M A C T Health Board, Incorporated | |
|
367 Creekside Dr Bear Valley CA 95223-9455 | |
| (209) 674-6198 | |
| (209) 674-6272 |
| Full Name | M A C T Health Board, Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 367 Creekside Dr, Bear Valley, 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: () - | M A C T Health Board, Incorporated 367 Creekside Dr Bear Valley CA 95223-9455 Ph: (209) 674-6198 |
| NPI Number | 1508724337 |
|---|---|
| Provider Enumeration Date | 01/12/2026 |
| Last Update Date | 01/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508724337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |