| NPI | 1740272731 |
|---|---|
| Doing Business As | MACT MEDICAL MARIPOSA |
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER Executive Director 209-754-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 040000459) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 261QC1500X Clinic/Center, Community Health (Licence: CA 040000459) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2025-06-12 |