Livingston Community Health | |
1444 Florida Ave Ste 202 Modesto CA 95350-4400 | |
(209) 850-3500 | |
(209) 850-3499 |
Full Name | Livingston Community Health |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1444 Florida Ave Ste 202, Modesto, California |
Authorized Official Name and Position | Leslie Abasta-cummings (CEO) |
Authorized Official Contact | 2098503542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Livingston Community Health 600 B St Livingston CA 95334-9593 Ph: (209) 850-3500 | Livingston Community Health 1444 Florida Ave Ste 202 Modesto CA 95350-4400 Ph: (209) 850-3500 |
NPI Number | 1649099151 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 10/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649099151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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