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M A C T HEALTH BOARD INCORPORATED NPI 1871237040


NPI Information

NPI: 1871237040
Provider Name: M A C T HEALTH BOARD INCORPORATED

Doing Business As: MACT SONORA PEDIATRIC HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
940 SYLVA LN STE B
SONORA, CA
ZIP 95370
Phone: (209) 588-4660
Get Directions

M A C T HEALTH BOARD INCORPORATED is a clinic center in Sonora, CA. The provider is 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). M A C T HEALTH BOARD INCORPORATED NPI is 1871237040. The provider is registered as an organization entity type.
The provider Is Doing Business As Mact Sonora Pediatric Health Center.

The provider's business location address is:

940 SYLVA LN STE B
SONORA, CA
ZIP 95370-969
Phone: (209) 588-4660
Fax: (209) 398-8760

The provider's authorized official is John Shawver Alexander .
The authorized official title is Executive Director and has the following contact phone number (209) 754-6258.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 7/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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