M A C T HEALTH BOARD, INCORPORATED – NPI #1003766296
Clinic/Center

M A C T HEALTH BOARD, INCORPORATED is an AHC clinic located in SONORA, CA. NPPES has assigned the NPI number 1003766296 to M A C T HEALTH BOARD, INCORPORATED on January 29, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for M A C T HEALTH BOARD, INCORPORATED below.

NPI Profile for
M A C T HEALTH BOARD, INCORPORATED

NPI Number
1003766296
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
M A C T HEALTH BOARD, INCORPORATED
Primary location
940 SYLVA LN STE A
SONORA, CA 95370-5969
Phone: (209) 533-9600 Fax: (209) 533-9608
Mailing address
PO BOX 939
ANGELS CAMP, CA 95222-0939
Phone: (209) 754-6262 Fax:
Organization Subpart
No
Authorized Official
JOHN ALEXANDER
EXECUTIVE DIRECTOR
Phone: (209) 754-6258
Updated
Certification Date
Jan 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.