| Livingston Community Health | |
|
2412 3rd St Hughson CA 95326-9310 | |
| (209) 850-3500 | |
| Not Available |
| Full Name | Livingston Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2412 3rd St, Hughson, California |
| Authorized Official Name and Position | Leslie Abasta-cummings (CEO) |
| Authorized Official Contact | 2098503542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Community Health 600 B St Livingston CA 95334-9593 Ph: () - | Livingston Community Health 2412 3rd St Hughson CA 95326-9310 Ph: (209) 850-3500 |
| NPI Number | 1508408550 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 8820084692 |
|---|---|
| Medicare Enrollment ID | O20231003003535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508408550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Stanislaus County Health Services Agency Hughson Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Third Street, Hughson, CA 95326 Phone: 209-558-7250 |