M A C T HEALTH BOARD INCORPORATED
NPI 1295727287
Clinic/Center in Jackson, CA

Active since August 17, 2005
12140/12150 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-2400(209) 257-2403 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Feb 21, 2025, Nov 17, 2022 and 2 more (5 updates tracked since 2018).

About M A C T Health Board Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M A C T HEALTH BOARD INCORPORATED (NPI 1295727287), doing business as Mact Medical Jackson, is a healthcare organization registered as a clinic/center in Jackson, California and active in the NPI registry since August 2005. The organization lists John Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295727287
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address12140/12150 NEW YORK RANCH RDJackson, CA 95642-9407
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 754-6274
Fax(209) 257-2403
Organization SubpartYesParent: Mact Health Board Incorporated
Authorized OfficialJohn AlexanderExecutive Director · (209) 754-6262
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 12, 20255 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1295727287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
12140/12150 NEW YORK RANCH RD, Jackson, CA 95642

Other Names 1

Doing Business AsMact Medical Jackson

Other Identifiers 1

MedicaidTHP70776FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M A C T Health Board Incorporated's NPI number?

The NPI number for M A C T Health Board Incorporated is 1295727287. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as MACT Medical Jackson.

Where is M A C T Health Board Incorporated located?

M A C T Health Board Incorporated is located at 12140/12150 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-2400.

What is M A C T Health Board Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does M A C T Health Board Incorporated accept?

Health plans from BlueCross BlueShield of Tennessee list M A C T Health Board Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for M A C T Health Board Incorporated was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.