OrganizationActive
M a C T Health Board, Incorporated
NPI 1508724337 · Federally Qualified Health Center (FQHC) · Bear Valley, CA
Provider details
- NPI number
- 1508724337
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Alexander, Executive Director(209) 754-6258
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
367 Creekside Dr
Bear Valley, CA 95223-9455
Phone: (209) 674-6198
Fax: (209) 674-6272
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 939
Angels Camp, CA 95222-0939
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.