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M A C T HEALTH BOARD, INCORPORATED
NPI 1740272731
Clinic/Center in Mariposa, CA

Active since August 17, 2005
5192 HOSPITAL RD, MARIPOSA, CA 95338(209) 742-5055(209) 742-6144 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, Feb 21, 2025, Nov 16, 2022 and 2 more (5 updates tracked since 2018).

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 1740272731), doing business as Mact Medical Mariposa, is a healthcare organization registered as a clinic/center in Mariposa, California and active in the NPI registry since August 2005. The organization lists John Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740272731
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameM A C T HEALTH BOARD, INCORPORATED
Location Address5192 HOSPITAL RDMariposa, CA 95338-9524
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 754-6274
Phone(209) 742-5055
Fax(209) 742-6144
Organization SubpartYesParent: Mact Health Board, Incorporated
Authorized OfficialJohn AlexanderExecutive Director · (209) 754-6262
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 12, 20255 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1740272731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 040000459
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 040000459 (CA)
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
5192 HOSPITAL RD, Mariposa, CA 95338
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Other Names 1

Doing Business AsMact Medical Mariposa

Other Identifiers 1

MedicaidTHP70732FCA

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 4

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

GEORGI CHOLAKOV
Physician Assistant
5192 HOSPITAL RD
MARIPOSA, CA 95338
Mariposa County (209) 742-6144
MR. FRANCIS FLOWERS RDH
Dental Hygienist
5192 HOSPITAL RD
MARIPOSA, CA 95338
Mariposa County (209) 966-0573
DR. RAVINDER R. KADEVARI M.D.
Family Medicine
5192 HOSPITAL RD
MARIPOSA, CA 95338
Mariposa County (209) 742-6144
DR. PANIDA SAHASAKMONTRI DMD
Dentist
5192 HOSPITAL RD
MARIPOSA, CA 95338
Mariposa County (209) 966-0573

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 1740272731. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as MACT Medical Mariposa.

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

M A C T Health Board, Incorporated is located at 5192 Hospital Rd, Mariposa, CA 95338. The listed phone number is (209) 742-5055.

What is M A C T Health Board, Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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.