M A C T HEALTH BOARD, INCORPORATED
NPI 1528508488
Clinic/Center - Federally Qualified Health Center (FQHC) in San Andreas, CA

Active since February 27, 2017
1113A HIGHWAY 49, SAN ANDREAS, CA 95249(209) 755-1460 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Nov 17, 2022, Feb 27, 2017 (3 updates tracked since 2017).

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 1528508488) is a healthcare organization registered as a federally qualified health center (fqhc) in San Andreas, California and active in the NPI registry since February 2017. The organization lists John Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1528508488
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD, INCORPORATED
Location Address1113A HIGHWAY 49San Andreas, CA 95249
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262
Organization SubpartNo
Authorized OfficialJohn AlexanderExecutive Director · (209) 754-6258
Enumeration DateFebruary 27, 2017
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1528508488 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 ListedDentistTaxonomy 122300000X
Also ListedOptometristTaxonomy 152W00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1113A HIGHWAY 49, San Andreas, CA 95249

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 3

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

Dentist (General Practice)
1113A HIGHWAY 49
SAN ANDREAS, CA 95249
Dental Hygienist
1113A HIGHWAY 49
SAN ANDREAS, CA 95249
Marriage & Family Therapist
1113A HIGHWAY 49
SAN ANDREAS, CA 95249

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 1528508488. It was assigned to this organization in the NPPES registry on February 27, 2017.

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

M A C T Health Board, Incorporated is located at 1113A Highway 49, San Andreas, CA 95249. The listed phone number is (209) 755-1460.

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 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.