M a C T Health Board Incorporated
NPI #1649091109 in Valley Springs, California
Provider Information
- NPI Number
- 1649091109
- Entity Type
- Organization
- Organization Name
- M a C T Health Board Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- M A C T HEALTH BOARD INCORPORATED
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 17, 2024
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 1906 VISTA DEL LAGO DR STE K
- City
- Valley Springs
- State
- California
- ZIP Code
- 95252-9700
- Phone
- (209) 755-1490
Authorized Official
- Name
- JOHN SHAWVER ALEXANDER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (209) 754-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Community Health Worker |
| Clinic/Center |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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