Mact Medical San Andreas

LBN: M A C T Health Board, Incorporated
Mact Medical San Andreas is an health care organization with primary practice located at 1113 Hwy 49 , San Andreas CA 95249-9583. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural 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) 755-1400, or through Alexander, John via phone (209) 754-6262.

Contact Information

Primary practice address
1113 Hwy 49 San Andreas CA 95249-9583
Phone: (209) 755-1400
Fax: (209) 755-1430
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 550000678 California
Ambulatory Health Care Facilities / Rural Health 261QR1300X California

Profile Details

NPI number 1346410255
LBN Legal business name M A C T Health Board, Incorporated
DBA Doing business as Mact Medical San Andreas
Authorized official Alexander, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 6th, 2008
Last updated Nov 17th, 2022 - about 3 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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