M A C T Health Board Incorporated

LBN: M A C T Health Board Incorporated
M A C T Health Board Incorporated is an health care organization with primary practice located at 1113 Highway 49 , San Andreas CA 95249. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. M A C T Health Board Incorporated can be contacted via phone (209) 754-6262, or through Alexander, John via phone (209) 754-6262.

Contact Information

Primary practice address
1113 Highway 49 San Andreas CA 95249
Phone: (209) 754-6262
Fax: (209) 674-6211
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 030000438 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 550000678 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 030000704 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 040000459 California

Profile Details

NPI number 1366519431
LBN Legal business name M A C T Health Board Incorporated
DBA Doing business as
Authorized official Alexander, John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 26th, 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 1366519431 NPPES
California MEDICAID THP70732F
California MEDICAID THP70871F
California MEDICAID THP70018F
California MEDICAID THP70875F
California MEDICAID THP70776F
California MEDICAID GR0090620

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