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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

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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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 1417815507. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is M A C T Health Board, Incorporated located?

M A C T Health Board, Incorporated is located at 1906 Vista Del Lago Dr Ste L, Valley Springs, CA 95252. The listed phone number is (209) 755-1490.

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.

When was this NPI record last updated?

The NPPES record for M A C T Health Board, Incorporated was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.