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M A C T Health Board Incorporated
Community Health Clinic/Center in Jackson, California
NPI 1295727287

M A C T Health Board Incorporated is a Community Health Clinic/Center based in Angels Camp, CA and is specialized in Community Health. M A C T Health Board Incorporated practices in Jackson, CA. The NPI Number for M A C T Health Board Incorporated is 1295727287 and holds a License No. (California).

The current practice location address for M A C T Health Board Incorporated is 12140/12150 New York Ranch Rd, Jackson, CA and can be reached out via phone at 209-257-2400 and via fax at 209-257-2403.

Location: 12140/12150 New York Ranch Rd, Jackson, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295727287
Provider Name
M A C T Health Board Incorporated
Credential
Provider Entity Type
Organization
Address
12140/12150 New York Ranch Rd, Jackson, CA, 95222-0939
Phone Number
209-257-2400
Fax Number
209-257-2403
Provider Enumeration Date
08/17/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
THP70776F 05 CA
institution
Provider Business Practice Location Address Details
Address
12140/12150 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9407
Phone Number
209-257-2400
Fax Number
209-257-2403
person
Provider Business Mailing Address Details
Address
12140/12150 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9407
Phone Number
209-257-2400
Fax Number
209-257-2403
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
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
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