M a C T Health Board Incorporated
Federally qualified health center in Jackson, CA, Medicare certification number 921021.
Medicare certification
Provider of Services- CCN
- 921021
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Dec 5, 2017
- Last certification
- Dec 5, 2017
- Address
- 12140 New York Ranch Rd
Jackson, CA 95642
(209) 257-2400
NPI records for this facility (CCN to NPI Mapping) 2
-
Medicare enrollment
-
- Federally Qualified Health Center (FQHC)
- San Andreas, CA
- NPI 1366519431
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.