Organization Name: | M A C T HEALTH BOARD INCORPORATED |
NPI Number: | 1366519431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD CHAFFEY (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 265 W. St. Charles St. Suite 2 & 3 San Andreas |
State: | CA US |
Postal Code: | 952499618 |
Phone Number: | 2097551400 |
Fax Number: | 2097551450 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 030000438 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
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). |