Mact Medical Sonora
LBN: M A C T Health Board, Incorporated
Mact Medical Sonora is an health care organization with primary practice located at 13975 Mono Way Suite G, H & I, Sonora CA 95370-2824. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
M A C T Health Board, Incorporated can be contacted via phone (209) 533-9600, or through Alexander, John via phone (209) 754-6258.
Contact Information
Primary practice address
13975 Mono Way Suite G, H & I
Sonora CA 95370-2824
Phone: (209) 533-9600
Fax: (209) 533-9608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 030000704 | California |
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 030000704 | California |
Profile Details
| NPI number | 1467444364 |
|---|---|
| LBN Legal business name | M A C T Health Board, Incorporated |
| DBA Doing business as | Mact Medical Sonora |
| Authorized official | Alexander, John |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Nov 17th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467444364 | NPPES |
| California | MEDICAID | THP70875F |
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