| Organization Name: | MACT HEALTH BOARD, INC. |
| NPI Number: | 1346410255 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ALEXANDER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1113 Hwy 49 San Andreas |
| State: | CA US |
| Postal Code: | 952499583 |
| Phone Number: | 2097551400 |
| Fax Number: | 2097551430 |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |