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M A C T Health Board Incorporated
Primary Care Clinic/Center in Sonora, California
NPI 1467444364

M A C T Health Board Incorporated is a Primary Care Clinic/Center based in Angels Camp, CA and is specialized in Primary Care. M A C T Health Board Incorporated practices in Sonora, CA. The NPI Number for M A C T Health Board Incorporated is 1467444364 and holds a License No. 030000704 (California).

The current practice location address for M A C T Health Board Incorporated is 13975 Mono Way Ste G, Sonora, CA and can be reached out via phone at 209-533-9600 and via fax at 209-533-9608.

Location: 13975 Mono Way Ste G, Sonora, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467444364
Provider Name
M A C T Health Board Incorporated
Credential
Provider Entity Type
Organization
Address
13975 Mono Way Ste G, Sonora, CA, 95222-0939
Phone Number
209-533-9600
Fax Number
209-533-9608
Provider Enumeration Date
08/17/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THP70875F 05 CA
institution
Provider Business Practice Location Address Details
Address
13975 Mono Way Ste G
City
Sonora
State
California
Zip
95370-2824
Phone Number
209-533-9600
Fax Number
209-533-9608
person
Provider Business Mailing Address Details
Address
13975 Mono Way Ste G
City
Sonora
State
California
Zip
95370-2824
Phone Number
209-533-9600
Fax Number
209-533-9608
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
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
030000704 (California)
Definition
Definition to come...
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