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M A C T HEALTH BOARD INCORPORATED
NPI 1548086820
Clinic/Center - Federally Qualified Health Center (FQHC) in Sonora, CA

Active since December 02, 2024
13975 MONO WAY STE I, SONORA, CA 95370(209) 533-9603(209) 533-9604 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1548086820), doing business as Mact Dental, Sonora, is a healthcare organization registered as a federally qualified health center (fqhc) in Sonora, California and active in the NPI registry since December 2024. The organization lists John Shawver Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1548086820
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address13975 MONO WAY STE ISonora, CA 95370-2824
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 736-1814
Phone(209) 533-9603
Fax(209) 533-9604
Organization SubpartYes
Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6262
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1548086820 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/Center · DentalTaxonomy 261QD0000X
13975 MONO WAY STE I, Sonora, CA 95370
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Other Names 1

Doing Business AsMact Dental, Sonora

Other Providers at the Same Location NPPES 6

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

PATRICIA RIVAS DDS
Dentist
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603
ASHLEY MIRELEZ RDH
Dental Hygienist
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603
YOLIBETH ALBERTO CARDENAS RDH
Dental Hygienist
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603
MS. KAREN KALLAS RDH
Dental Hygienist
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603
OCEAN ARELLANO RDHAP
Dental Hygienist
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603
DR. MICKEY C MOUA DDS
Dentist (General Practice)
13975 MONO WAY STE I
SONORA, CA 95370
Tuolumne County (209) 533-9603

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 1548086820. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is doing business as MACT Dental, Sonora.

Where is M A C T Health Board Incorporated located?

M A C T Health Board Incorporated is located at 13975 Mono Way Ste I, Sonora, CA 95370. The listed phone number is (209) 533-9603.

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 December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.