Mact Medical Jackson

LBN: M A C T Health Board Incorporated
Mact Medical Jackson is an health care organization with primary practice located at 12140/12150 New York Ranch Rd , Jackson CA 95642-9407. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. M A C T Health Board Incorporated can be contacted via phone (209) 257-2400, or through Alexander, John via phone (209) 754-6262.

Contact Information

Primary practice address
12140/12150 New York Ranch Rd Jackson CA 95642-9407
Phone: (209) 257-2400
Fax: (209) 257-2403
Website:
Map and Directions
Authorized official contact:
Name: Alexander, John
Phone: (209) 754-6262

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1295727287
LBN Legal business name M A C T Health Board Incorporated
DBA Doing business as Mact Medical Jackson
Authorized official Alexander, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 17th, 2005
Last updated Nov 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295727287 NPPES
California MEDICAID THP70776F

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