institution
Livingston Community Health Services
Federally Qualified Health Center (FQHC) in Livingston, California
NPI 1013195221

Livingston Community Health Services is a Federally Qualified Health Center (FQHC) based in Livingston, CA and is specialized in Federally Qualified Health Center (FQHC). Livingston Community Health Services practices in Livingston, CA. The NPI Number for Livingston Community Health Services is 1013195221 and holds a License No. (California).

The current practice location address for Livingston Community Health Services is 1140 Main St, Livingston, CA and can be reached out via phone at 209-394-7075 and via fax at 209-394-3660.

Location: 1140 Main St, Livingston, CA, 95334-1257
institution
Provider Profile Details
NPI Number
1013195221
Provider Name
Livingston Community Health Services
Credential
Provider Entity Type
Organization
Address
1140 Main St, Livingston, CA, 95334-1257
Phone Number
209-394-7075
Fax Number
209-394-3660
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
EAP03897F 01 CA EXPANDED ACCESS FOR PRIMA
institution
Provider Business Practice Location Address Details
Address
1140 Main St
City
State
Zip
95334-1257
Phone Number
209-394-7075
Fax Number
209-394-3660
person
Provider Business Mailing Address Details
Address
1140 Main St
City
State
Zip
95334-1257
Phone Number
209-394-7075
Fax Number
209-394-3660
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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