M A C T HEALTH BOARD INCORPORATED
NPI 1649091109
Clinic/Center - Federally Qualified Health Center (FQHC) in Valley Springs, CA

Active since October 17, 2024
1906 VISTA DEL LAGO DR STE K, VALLEY SPRINGS, CA 95252(209) 755-1490(209) 459-4054 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, Mar 21, 2025 (2 updates tracked since 2025).

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 1649091109), doing business as Mact Behavioral Health, Valley Springs, is a healthcare organization registered as a federally qualified health center (fqhc) in Valley Springs, California and active in the NPI registry since October 2024. The organization lists John Shawver Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649091109
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address1906 VISTA DEL LAGO DR STE KValley Springs, CA 95252-9700
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 736-1814
Fax(209) 459-4054
Organization SubpartYes
Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6262
Enumeration DateOctober 17, 2024
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1649091109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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
1906 VISTA DEL LAGO DR STE K, Valley Springs, CA 95252

Other Names 1

Doing Business AsMact Behavioral Health, Valley Springs

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

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

Chiropractor
1906 VISTA DEL LAGO DR STE K
VALLEY SPRINGS, CA 95252

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 1649091109. It was assigned to this organization in the NPPES registry on October 17, 2024. The provider is doing business as MACT Behavioral Health, Valley Springs.

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 K, 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 June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.