institution
Livingston Community Health
Federally Qualified Health Center (FQHC) in Waterford, California
NPI 1528433588

Livingston Community Health is a Federally Qualified Health Center (FQHC) based in Livingston, CA and is specialized in Federally Qualified Health Center (FQHC). Livingston Community Health practices in Waterford, CA. The NPI Number for Livingston Community Health is 1528433588 and holds a License No. (California).

The current practice location address for Livingston Community Health is 12619 Bentley St, Waterford, CA and can be reached out via phone at 209-442-6200 and via fax at 209-394-9093.

Location: 12619 Bentley St, Waterford, CA, 95334-1257
institution
Provider Profile Details
NPI Number
1528433588
Provider Name
Livingston Community Health
Credential
Provider Entity Type
Organization
Address
12619 Bentley St, Waterford, CA, 95334-1257
Phone Number
209-442-6200
Fax Number
209-394-9093
Provider Enumeration Date
12/02/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
751901 01 CA MEDICARE OSCAR/CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
12619 Bentley St
City
State
Zip
95386-9011
Phone Number
209-442-6200
Fax Number
209-394-9093
person
Provider Business Mailing Address Details
Address
12619 Bentley St
City
State
Zip
95386-9011
Phone Number
209-442-6200
Fax Number
209-394-9093
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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