M A C T HEALTH BOARD, INCORPORATED
NPI 1417815507
Clinic/Center - Federally Qualified Health Center (FQHC) in Valley Springs, CA
Active since January 15, 2026
1906 VISTA DEL LAGO DR STE L, VALLEY SPRINGS, CA 95252(209) 755-1490(209) 459-4074 Get Directions Write a Review
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 1417815507) is a healthcare organization registered as a federally qualified health center (fqhc) in Valley Springs, California and active in the NPI registry since January 2026. The organization lists John Shawver Alexander, Executive Director, as its authorized official.
NPPES Registry Identity
NPI1417815507
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD, INCORPORATED
Location Address1906 VISTA DEL LAGO DR STE LValley Springs, CA 95252-9700
Mailing AddressPo Box 939Angels Camp, CA 95222-0939
Phone(209) 755-1490
Fax(209) 459-4074
Organization SubpartNo
Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6262
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1417815507 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
1906 VISTA DEL LAGO DR STE L, Valley Springs, CA 95252
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417815507, enumerated as an "organization" on January 15, 2026.
The provider is located at 1906 VISTA DEL LAGO DR STE L VALLEY SPRINGS, CA 95252 and the phone number is (209) 755-1490.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
