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600 B Street Suite A, B, C Livingston CA 95334-1257 | |
| (209) 394-7913 | |
| (209) 394-9093 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 B Street, Livingston, California |
| Authorized Official Name and Position | Leslie Mcgowan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093947913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1140 Main St Livingston CA 95334-1257 Ph: (209) 394-7913 | 600 B Street Suite A, B, C Livingston CA 95334-1257 Ph: (209) 394-7913 |
| NPI Number | 1245721539 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245721539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 B St Bldg B, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Universal Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1472 B St Ste A, Livingston, CA 95334 Phone: 209-751-7165 Fax: 209-751-7165 | |
Ran Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Main St Ste A, Livingston, CA 95334 Phone: 209-445-2388 Fax: 209-490-5652 | |