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M A C T Health Board Incorporated
Clinic/Center in San Andreas, California
NPI 1366519431

M A C T Health Board Incorporated is a Clinic/Center based in Angels Camp, CA. M A C T Health Board Incorporated practices in San Andreas, CA. The NPI Number for M A C T Health Board Incorporated is 1366519431 and holds a License No. 030000438 (California).

The current practice location address for M A C T Health Board Incorporated is 1113 Highway 49, San Andreas, CA and can be reached out via phone at 209-754-6262 and via fax at 209-674-6211.

Location: 1113 Highway 49, San Andreas, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366519431
Provider Name
M A C T Health Board Incorporated
Credential
Provider Entity Type
Organization
Address
1113 Highway 49, San Andreas, CA, 95222-0939
Phone Number
209-754-6262
Fax Number
209-674-6211
Provider Enumeration Date
11/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THP70732F 05 CA
THP70871F 05 CA
THP70018F 05 CA
THP70875F 05 CA
THP70776F 05 CA
GR0090620 05 CA
institution
Provider Business Practice Location Address Details
Address
1113 Highway 49
City
San Andreas
State
California
Zip
95249
Phone Number
209-754-6262
Fax Number
209-674-6211
person
Provider Business Mailing Address Details
Address
1113 Highway 49
City
San Andreas
State
California
Zip
95249
Phone Number
209-754-6262
Fax Number
209-674-6211
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
030000438 (California)
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).
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