M A C T HEALTH BOARD INCORPORATED – NPI #1366519431
Clinic/Center

M A C T HEALTH BOARD INCORPORATED is an AHC clinic located in SAN ANDREAS, CA. NPPES has assigned the NPI number 1366519431 to M A C T HEALTH BOARD INCORPORATED on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 23 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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)

The NPI profile was last updated on Jan 29, 2026. 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
1366519431
Enumeration Date

(more than 19 years 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
1113 HIGHWAY 49
SAN ANDREAS, CA 95249
Phone: (209) 755-1400 Fax: (209) 755-1430
23 Other location(s):
52 S Main St
Angels Camp, CA 95222-9153
Phone: (209) 754-6262
52 S Main St Ste B
Angels Camp, CA 95222-9153
Phone: (209) 674-6181
Fax: (209) 674-6191
367 Creekside Dr
Bear Valley, CA 95223-9455
Phone: (209) 562-0899
19177 State Highway 120
Groveland, CA 95321-9701
Phone: (209) 754-6262
Fax: (209) 736-1814
305 Preston Ave
Ione, CA 95640-9158
Phone: (209) 674-6182
Fax: (209) 398-8759
12140 New York Ranch Rd
Jackson, CA 95642-9407
Phone: (209) 257-2400
12150 New York Ranch Rd
Jackson, CA 95642-9407
Phone: (209) 257-2460
5192 Hospital Rd
Mariposa, CA 95338-9524
Phone: (209) 742-6144
5204 Hospital Rd
Mariposa, CA 95338-9524
Phone: (209) 966-0573
75 Diamond Valley Rd Unit B
Markleeville, CA 96120-9579
Phone: (530) 694-2146
Fax: (530) 694-2770
1113A Highway 49
San Andreas, CA 95249-9583
Phone: (209) 755-1480
Fax: (209) 674-6190
13975 Mono Way Ste G
Sonora, CA 95370-2824
Phone: (209) 533-9600
13975 Mono Way Ste I
Sonora, CA 95370-2824
Phone: (209) 533-9603
13975 Mono Way Ste J
Sonora, CA 95370-2824
Phone: (209) 588-4640
905 Morning Star Dr
Sonora, CA 95370-9249
Phone: (209) 533-9600
940 Sylva Ln Ste A
Sonora, CA 95370-5969
Phone: (209) 288-6502
940 Sylva Ln Ste B
Sonora, CA 95370-5969
Phone: (209) 288-6530
940 Sylva Ln Ste D1
Sonora, CA 95370-5969
Phone: (209) 588-4680
940 Sylva Ln Ste F1
Sonora, CA 95370-5969
Phone: (209) 674-6197
Fax: (209) 674-6203
940 Sylva Ln Ste H
Sonora, CA 95370-5969
Phone: (209) 532-4123
321 State Highway 49
Sutter Creek, CA 95685-4211
Phone: (209) 257-2480
Fax: (209) 674-3909
1906 Vista Del Lago Dr Ste K
Valley Springs, CA 95252-9700
Phone: (209) 755-1490
1906 Vista Del Lago Dr Ste L
Valley Springs, CA 95252-9700
Phone: (209) 755-1490
Fax: (209) 459-4074
Mailing address
PO BOX 939
ANGELS CAMP, CA 95222-0939
Phone: (209) 754-6262 Fax: (209) 674-6211
Organization Subpart
No
Authorized Official
JOHN ALEXANDER
EXECUTIVE DIRECTOR
Phone: (209) 754-6262
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.

Identifiers

Identifiers for M A C T HEALTH BOARD INCORPORATED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
medicaidCAGR0090620
medicaidCATHP70018F
medicaidCATHP70732F
medicaidCATHP70776F
medicaidCATHP70871F
medicaidCATHP70875F
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.

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.