FQHC — tribal (638) · CA
MACT Health Board, Inc.
- 0Registered locations
- 1Associated locations
- 20Contract pharmacies
- 20With 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 FQHC638483), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638483
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
- FQHC638483
- Entity type as filed
- FQHC638
- NPI
- 1366519431 (CA)
12140 NEW YORK RANCH ROAD, JACKSON CA 95642
Associated locations
| Organization | Address | Where |
|---|---|---|
| MACT Health Board, Inc. | 12140 NEW YORK RANCH ROAD | JACKSON CA 95642 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | 1 July 2026 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 July 2026 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2026 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2026 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 July 2026 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 July 2026 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2026 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 July 2026 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 July 2026 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 July 2026 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 July 2026 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 1 July 2026 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | VALLEY SPRINGS, CA | 1 January 2019 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 July 2026 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 1 July 2026 | no end date filed |
| PROCARE PHARMACY, L.L.C. | SAN FRANCISCO, CA | 1 October 2018 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 1 July 2026 | no end date filed |
| RALEY'S PHARMACY #426 | JACKSON, CA | 1 October 2019 | no end date filed |
| SAFEWAY INC | JACKSON, CA | 23 July 2009 | no end date filed |
| WALGREEN CO. | SUTTER CREEK, CA | 1 October 2020 | no end date filed |
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.