MACT HEALTH BOARD, INC.


Address: 12140/12150 New York Ranch Rd, Jackson, CA 95642-9407
Phone: 2092572400

MACT HEALTH BOARD, INC. (NPI# 1295727287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295727287
Entity Type Organization
Organization Name MACT HEALTH BOARD, INC.
Other Organization Name MACT MEDICAL JACKSON
Practice Address 12140/12150 New York Ranch Rd
Jackson
CA 95642-9407
Mailing Address Po Box 939
Angels Camp
CA 95222-0939
Practice Telephone 2092572400
Practice Fax Number 2092572403
Mailing Telephone 2097546262
Mailing Fax Number 2097546274
Enumeration Date 2005-08-17
Last Update Date 2018-09-26
Authorized Official Name MR. JOHN ALEXANDER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2097546262
Is Organization Subpart Y
Parent Organization Name MACT HEALTH BOARD, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA THP70776F 05

Other Provider/Organization Names

Other Name Type Code
Jackson Rancheria Health Complex Doing Business As Name - Organization
MACT Medical Jackson Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417505918 Mact Health Board, Inc. Dentist 52 S Main Street, Suite B, Angels Camp, CA 95222 2019-08-28
1528508488 Mact Health Board, Inc. Optometrist 1113a Highway 49, San Andreas, CA 95249 2017-02-27
1366519431 Mact Health Board, Inc. Clinic/Center 1113 Highway 49, San Andreas, CA 95249 2006-11-30
1346410255 Mact Health Board, Inc. Clinic/Center 1113 Hwy 49, San Andreas, CA 95249-9583 2008-03-06
1740272731 Mact Health Board, Inc. Clinic/Center 5192 Hospital Rd, Mariposa, CA 95338-9524 2005-08-17
1467444364 Mact Health Board, Inc. Clinic/Center 13975 Mono Way, Suite G, H & I, Sonora, CA 95370-2824 2005-08-17

Office Location

Street Address 12140/12150 NEW YORK RANCH RD
City JACKSON
State CA
Zip Code 95642-9407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932666575 Gold Country Health Initiative, LLC Family Medicine 820/830 State Highway 88, Jackson, CA 95642 2019-03-01
1053844902 Kathryn Erosa Pharmacist 515 Highway 49 South, Jackson, CA 95642 2017-04-07
1356882039 Thomas Alan Bowhay Clinic/Center 820 Highway 88, Jackson, CA 95642 2017-03-15
1710130141 Roland E Womack Dentist 511 Sutter St, Jackson, CA 95642 2008-10-29
1508929522 Stanley M Ordonez Dentist 645 New York Ranch Rd, Jackson, CA 95642 2006-12-19
1942374996 Thomas W Zeiler Chiropractor 665 New York Ranch Rd Suite 2, Jackson, CA 95642 2006-11-20
1023188968 Cordelia Rose Slayter Physical Therapist 711 S State Hwy 49, Jackson, CA 95642 2006-11-08
1285744946 Raleys Pharmacy 781 South Highway 49, Jackson, CA 95642 2006-08-30
1316996747 Robert R. Bussell X Physical Therapist 813 Court Street, Ste 2, Jackon, CA 95642 2006-05-10
1861953135 Chelsea Yule Solutions Clinic/Center 230 N Main St, Jackson, CA 95642 2019-03-28
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972150084 Wound Management Specialists, LLC Clinic/Center 1190 N State St Ste 2a, Jackson, MS 39202-2413 2019-08-22
1700449329 Cycle 8 Health Care, LLC Clinic/Center 2310 Highway 80 W Ste 2260, Jackson, MS 39204-2383 2019-04-18
1093286544 East Endocrine and Metabolism Pllc Clinic/Center 3829 Greentree Pl, Jackson, MS 39211-6737 2018-12-10
1760965206 Hunter Assets Holding LLC Clinic/Center 1035 W Mayes St, Jackson, MS 39213-6100 2018-09-11
1235634759 W A Foote Memorial Hospital Inc Clinic/Center 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 2018-03-27
1336644897 W A Foote Memorial Hospital Inc Clinic/Center 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 2018-03-27
1730684580 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 210, Jackson, MI 49202-1432 2018-03-26
1164927844 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 800, Jackson, MI 49202-1432 2018-03-26
1225532120 Robert Greer Do, LLC Clinic/Center 5345 Farnsworth Dr, Jackson, MS 39211-4604 2018-03-23
1447761713 Celestial Health Creations Clinic/Center 7 Lakeland Cir Ste 300, Jackson, MS 39216-5022 2017-10-13
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 95642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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