FQHC — tribal (638) · CA
MACT Health Board, Inc.
- 0Registered locations
- 1Associated locations
- 28Contract pharmacies
- 26With no end date
- 1 January 2003In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “MACT Health Board, Inc.” (340B ID FQHC638480), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638480
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2003
- Certification date
- 20 February 2026
- Record last edited
- 20 February 2026
Identifiers
- 340B ID
- FQHC638480
- Entity type as filed
- FQHC638
- NPI
- 1366519431 (CA), 1417527532 (CA)
13975 MONO WAY, SUITE G,H, I, J, SONORA CA 95370
Associated locations
| Organization | Address | Where |
|---|---|---|
| MACT Health Board, Inc. | 13975 MONO WAY, SUITE G,H, I, J | SONORA CA 95370 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| CVS CAREMARK | WILKES BARRE, PA | 1 July 2024 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 July 2024 | no end date filed |
| GARFIELD BEACH CVS, L.L.C. | PLAYA VISTA, CA | 1 January 2020 | no end date filed |
| IONE PHARMACY | IONE, CA | 1 July 2016 | no end date filed |
| KELLY'S DRUG STORE | SAN ANDREAS, CA | 1 April 2016 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | PLACERVILLE, CA | 1 January 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | VALLEY SPRINGS, CA | 1 January 2019 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | SONORA, CA | 1 January 2016 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | ANGELS CAMP, CA | 1 April 2019 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | GALT, CA | 1 January 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | JACKSON, CA | 1 January 2016 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | OAKHURST, CA | 1 January 2020 | no end date filed |
| PIONEER MARKET PHARMACY | MARIPOSA, CA | 1 April 2016 | no end date filed |
| PROCARE PHARMACY, L.L.C. | SAN FRANCISCO, CA | 1 October 2018 | no end date filed |
| RALEY'S PHARMACY #426 | JACKSON, CA | 1 October 2019 | no end date filed |
| SAFEWAY INC | SONORA, CA | 23 July 2009 | no end date filed |
| SAFEWAY INC | JACKSON, CA | 1 April 2016 | no end date filed |
| THRIFTY PAYLESS, INC. | SONORA, CA | 1 October 2015 | no end date filed |
| THRIFTY PAYLESS, INC. | ANGELS CAMP, CA | 1 October 2015 | no end date filed |
| THRIFTY PAYLESS, INC. | MARIPOSA, CA | 1 October 2015 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 April 2017 | no end date filed |
| WAL-MART PHARMACY 10-2030 | SONORA, CA | 1 April 2016 | no end date filed |
| WAL-MART PHARMACY 10-2054 | JACKSON, CA | 1 April 2016 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 April 2017 | no end date filed |
| WALGREEN CO. | SUTTER CREEK, CA | 1 October 2020 | no end date filed |
| WELLPARTNER, INC | TUALATIN, OR | 1 April 2016 | no end date filed |
| FOOTHILLS DRUG STORE | VALLEY SPRINGS, CA | 1 April 2016 | 29 November 2018 |
| PINE CONE DRUG | PINE GROVE, CA | 1 July 2016 | 16 September 2017 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.