M a C T Health Board Incorporated
NPI 1366519431 · Federally Qualified Health Center (FQHC) · San Andreas, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
M a C T Health Board Incorporated is a Federally Qualified Health Center (FQHC) organization in San Andreas, CA (NPI 1366519431).
Provider details
- NPI number
- 1366519431
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Alexander, Executive Director(209) 754-6262
- License
- 550000678 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
24 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (23)
- 52 S Main StAngels Camp, CA 95222-9153Phone: (209) 754-6262
- 52 S Main St Ste BAngels Camp, CA 95222-9153Phone: (209) 674-6181Fax: (209) 674-6191
- 367 Creekside DrBear Valley, CA 95223-9455Phone: (209) 562-0899
- 19177 State Highway 120Groveland, CA 95321-9701Phone: (209) 754-6262Fax: (209) 736-1814
- 305 Preston AveIone, CA 95640-9158Phone: (209) 674-6182Fax: (209) 398-8759
- 12140 New York Ranch RdJackson, CA 95642-9407Phone: (209) 257-2400
- 12150 New York Ranch RdJackson, CA 95642-9407Phone: (209) 257-2460
- 5204 Hospital RdMariposa, CA 95338-9524Phone: (209) 966-0573
- 5192 Hospital RdMariposa, CA 95338-9524
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is M a C T Health Board Incorporated's NPI number?
- M a C T Health Board Incorporated's National Provider Identifier (NPI) is 1366519431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is M a C T Health Board Incorporated?
- M a C T Health Board Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is M a C T Health Board Incorporated located?
- M a C T Health Board Incorporated's practice location on file with NPPES is 1113 Highway 49, San Andreas, CA 95249.
- What is M a C T Health Board Incorporated's phone number?
- The practice phone number listed in the NPPES registry for M a C T Health Board Incorporated is (209) 755-1400.
- Does M a C T Health Board Incorporated accept Medicare?
- M a C T Health Board Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for M a C T Health Board Incorporated?
- The authorized official listed on M a C T Health Board Incorporated's NPPES record is John Alexander, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is M a C T Health Board Incorporated's NPI active?
- Yes — M a C T Health Board Incorporated's NPI (1366519431) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.