Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

M A C T HEALTH BOARD INCORPORATED
NPI 1366519431
Clinic/Center - Federally Qualified Health Center (FQHC) in San Andreas, CA

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

The NPI number for M A C T Health Board Incorporated is 1366519431. It was assigned to this organization in the NPPES registry on November 30, 2006.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 30, 2006

1113 HIGHWAY 49, SAN ANDREAS, CA 95249(209) 755-1400(209) 755-1430 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Jan 29, 2026, Nov 5, 2025 and 8 more (11 updates tracked since 2016).

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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 1366519431) is a healthcare organization registered as a federally qualified health center (fqhc) in San Andreas, California and active in the NPI registry since November 2006. The organization lists Mariela Contreras, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366519431

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameM A C T HEALTH BOARD INCORPORATED

Location Address1113 HIGHWAY 49San Andreas, CA 95249

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 736-1814

Phone(209) 755-1400

Fax(209) 755-1430

Organization SubpartNo

Authorized OfficialMariela ContrerasExecutive Director · (209) 754-6262

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 29, 202611 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1366519431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedClinic/CenterTaxonomy 261Q00000X · License 550000678 (CA)

1113 HIGHWAY 49, San Andreas, CA 95249

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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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. SUSAN MARGARET ABELDT D.D.S.

Dentist (General Practice)

1113 HIGHWAY 49, STE A
SAN ANDREAS, CA 95249

Calaveras County (209) 755-1460

COLLETTE HOWARD CMT

Massage Therapist