| NPI | 1346410255 |
|---|---|
| Doing Business As | MACT MEDICAL SAN ANDREAS |
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER Executive Director 209-754-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 550000678) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-11-17 |