FQHC — tribal (638) · CA
MACT Health Board, Inc.
- 0Registered locations
- 1Associated locations
- 6Contract pharmacies
- 5With no end date
- 1 July 2009In 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 FQHC638490), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638490
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2009
- Certification date
- 20 February 2026
- Record last edited
- 20 February 2026
Identifiers
- 340B ID
- FQHC638490
- Entity type as filed
- FQHC638
- NPI
- 1366519431 (CA)
1113 Highway 49, SAN ANDREAS CA 95249
Associated locations
| Organization | Address | Where |
|---|---|---|
| MACT Health Board, Inc. | 1113 Highway 49 | SAN ANDREAS CA 95249 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| LONGS DRUG STORES CALIFORNIA, L.L.C. | ANGELS CAMP, CA | 1 July 2026 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | JACKSON, CA | 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, L.L.C. | SAN FRANCISCO, CA | 1 October 2018 | no end date filed |
| WALGREEN CO. | SUTTER CREEK, CA | 1 October 2020 | no end date filed |
| KELLY'S DRUG STORE | SAN ANDREAS, CA | 8 January 2010 | 29 November 2018 |
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.