MD
Medical Clinic
MACT DENTAL, ANGELS CAMP
52 S MAIN ST, SUITE B, ANGELS CAMP, CA 95222
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- Not reported
- LTC
- NON-LTC
- NPI
- 1417505918
- ZIP
- 95222
- id
- 8548
- CITY
- ANGELS CAMP
- FLAG
- Not reported
- ZIP9
- Not reported
- rank
- 0.057308756
- AO CD
- Not reported
- FACID
- 630019465
- DEEMED
- Not reported
- T18 19
- Not reported
- ADDRESS
- 52 S MAIN ST, SUITE B
- AO NAME
- Not reported
- FACNAME
- MACT DENTAL, ANGELS CAMP
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306050573
- CAPACITY
- 0
- LATITUDE
- 38.081421
- LOCATION
- (-120.5586,38.081421)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- Y
- LONGITUDE
- -120.5586
- CCLHO CODE
- 5
- CCLHO NAME
- CALAVERAS
- START DATE
- Not reported
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630019465
- COUNTY CODE
- 40
- COUNTY NAME
- CALAVERAS
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- Not reported
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- Not reported
- BUSINESS NAME
- M.A.C.T. HEALTH BOARD, INCORPORATED
- DISTRICT NAME
- SACRAMENTO
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550005595
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 3
- FIPS COUNTY CODE
- 6009
- LICENSED CERTIFIED
- LICENSED ONLY
- PARTICIPATION DATE
- Not reported
- CONTACT PHONE NUMBER
- (209) 754-6242
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2020-07-23T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-07-23T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-07-22T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- N
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- PARENT
COMMUNITY EXPERIENCE
Reviews of MACT DENTAL, ANGELS CAMP
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