M A C T Health Board Incorporated in Angels Camp - Clinic/center
M A C T Health Board Incorporated - NPI 1366519431
M A C T Health Board Incorporated is a Clinic/center in Angels Camp, California. M A C T Health Board Incorporated practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for M A C T Health Board Incorporated is 1366519431. The last update date is 2022-07-26.
M A C T Health Board Incorporated's current location address is Po Box 939, Angels Camp, California. You can contact this provider via phone number 2097546262 and fax number 2096746211. The mailing address for M A C T Health Board Incorporated is Po Box 939, Angels Camp, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | M A C T Health Board Incorporated |
|---|---|
| Address | Po Box 939, Angels Camp, California |
| Phone Number | 2097546262 |
| Fax Number | 2096746211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Alexander John |
| Telephone Number | 2097546262 |
NPI Number Detail
| NPI Number | 1366519431 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2022-07-26 |
Provider Mailing Address Detail
| Address | Po Box 939 |
|---|---|
| City | Angels Camp |
| State | California (CA) |
| Post Code | 952220939 |
| Phone Number | 2097546262 |
| Fax Number | 2096746211 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 30000438 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| THP70732F | CA | -- | |
| THP70871F | CA | -- | |
| THP70018F | CA | -- | |
| THP70875F | CA | -- | |
| THP70776F | CA | -- | |
| GR0090620 | CA | -- |
Post Comment/ Review Below
What is the M A C T Health Board Incorporated's 1366519431?
The M A C T Health Board Incorporated's NPI (National Provider Identifier) Number is 1366519431. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the M A C T Health Board Incorporated's physical address?
The M A C T Health Board Incorporated is physically located at Po Box 939, in the city of Angels Camp, CA, with the postal code 952220939.
What is M A C T Health Board Incorporated's specialized field of practice, and what is the corresponding taxonomy classification code?
The M A C T Health Board Incorporated's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366519431 to M A C T Health Board Incorporated?
The Centers for Medicare & Medicaid Services originally issued the 1366519431 to M A C T Health Board Incorporated on 2006-11-30.
When was the information pertaining to M A C T Health Board Incorporated most recently updated or revised?
The details related to M A C T Health Board Incorporated, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-26.
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