| Wolves Wellness Center | |
|
1617 Main St Livingston CA 95334-1250 | |
| (209) 394-7913 | |
| (209) 394-3660 |
| Full Name | Wolves Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1617 Main St, Livingston, California |
| Authorized Official Name and Position | Leslie T Mcgowan (C. E. O.) |
| Authorized Official Contact | 2093947913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolves Wellness Center 1140 Main St Livingston CA 95334-1257 Ph: (209) 394-7913 | Wolves Wellness Center 1617 Main St Livingston CA 95334-1250 Ph: (209) 394-7913 |
| NPI Number | 1487012779 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Medicare PECOS PAC ID | 8820084692 |
|---|---|
| Medicare Enrollment ID | O20170613002755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487012779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Livingston Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7075 Fax: 209-394-3660 | |
Livingston Health Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 B Street, Suite A, B, C, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-9093 | |
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 | |
Mfa Livingston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 Main St, Livingston, CA 95334 Phone: 209-398-2145 |