Mact Sonora Pediatric Health Center

LBN: M A C T Health Board Incorporated
Mact Sonora Pediatric Health Center is an health care organization with primary practice located at 940 Sylva Ln Ste B , Sonora CA 95370-5969. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. M A C T Health Board Incorporated can be contacted via phone (209) 588-4660, or through Alexander, John Shawver via phone (209) 754-6258.

Contact Information

Primary practice address
940 Sylva Ln Ste B Sonora CA 95370-5969
Phone: (209) 588-4660
Fax: (209) 398-8760
Website:
Map and Directions
Authorized official contact:
Name: Alexander, John Shawver
Phone: (209) 754-6258

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1871237040
LBN Legal business name M A C T Health Board Incorporated
DBA Doing business as Mact Sonora Pediatric Health Center
Authorized official Alexander, John Shawver
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2022
Last updated Jul 26th, 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.

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