Livingston Community Health

NPI #1487012779 in Livingston, California

Provider Information

NPI Number
1487012779
Entity Type
Organization
Organization Name
Livingston Community Health
Subpart
Yes (part of a larger organization)
Parent Organization
LIVINGSTON COMMUNITY HEALTH
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 2, 2016
Last Updated
Feb 2, 2016

Practice Location

Address
1617 MAIN ST
ZIP Code
95334-1250
Phone
(209) 394-7913

Authorized Official

Name
LESLIE T MCGOWAN, MPH
Title
C. E. O.
Phone
(209) 394-7913

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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