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institution
M A C T Health Board Incorporated
Multi-Specialty Clinic/Center in Ione, California
NPI 1285215400

M A C T Health Board Incorporated is a Multi-Specialty Clinic/Center based in Angels Camp, CA and is specialized in Multi-Specialty. M A C T Health Board Incorporated practices in Ione, CA. The NPI Number for M A C T Health Board Incorporated is 1285215400 and holds a License No. (California).

The current practice location address for M A C T Health Board Incorporated is 305 Preston Ave, Ione, CA and can be reached out via phone at 209-754-6262 and via fax at 209-754-6275.

Location: 305 Preston Ave, Ione, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285215400
Provider Name
M A C T Health Board Incorporated
Credential
Provider Entity Type
Organization
Address
305 Preston Ave, Ione, CA, 95222-0939
Phone Number
209-754-6262
Fax Number
209-754-6275
Provider Enumeration Date
04/19/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
305 Preston Ave
City
Ione
State
California
Zip
95640-9158
Phone Number
209-754-6262
Fax Number
209-754-6275
person
Provider Business Mailing Address Details
Address
305 Preston Ave
City
Ione
State
California
Zip
95640-9158
Phone Number
209-754-6262
Fax Number
209-754-6275
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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