Organization
LIVINGSTON COMMUNITY HEALTH
Active
Parent organization
LIVINGSTON COMMUNITY HEALTH
Other names
Livingston Health Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVINGSTON COMMUNITY HEALTH
Authorized official
LESLIE MCGOWAN (CHIEF EXECUTIVE OFFICER)
(209) 394-7913
Entity
Organization
Contact information
Practice address
600 B STREET, SUITE A, B, C, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
05/23/2018
Last updated
05/30/2018
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