Livingston Community Health
NPI #1528433588 in Waterford, California
Provider Information
- NPI Number
- 1528433588
- 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
- Dec 2, 2015
- Last Updated
- Aug 1, 2017
Practice Location
- Address
- 12619 BENTLEY ST
- City
- Waterford
- State
- California
- ZIP Code
- 95386-9011
- Phone
- (209) 442-6200
Authorized Official
- Name
- MRS. LESLIE MCGOWAN, MPH
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (209) 394-7913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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