M A C T HEALTH BOARD, INCORPORATED - NPI 1346410255 - Clinic/Center in San Andreas, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

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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 1346410255), doing business as Mact Medical San Andreas, is a healthcare organization registered as a clinic/center in San Andreas, California and active in the NPI registry since March 2008. The organization lists John Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346410255

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameM A C T HEALTH BOARD, INCORPORATED

Location Address1113 HWY 49San Andreas, CA 95249-9583

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 754-6274

Phone(209) 755-1400

Fax(209) 755-1430

Organization SubpartYesParent: Mact Health Board, Inc.

Authorized OfficialJohn AlexanderExecutive Director · (209) 754-6262

Enumeration DateMarch 6, 2008

Last NPPES UpdateJune 12, 20254 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1346410255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · 550000678

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 · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

1113 HWY 49, San Andreas, CA 95249

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Other Names 1

Doing Business AsMact Medical San Andreas

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILY N CLARKSON FNP

Nurse Practitioner