LIVINGSTON COMMUNITY HEALTH NPI 1487012779

NPI Information

NPI: 1487012779
Provider Name: LIVINGSTON COMMUNITY HEALTH

Doing Business As: WOLVES WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1617 MAIN ST
LIVINGSTON, CA
ZIP 95334
Phone: (209) 394-7913
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LIVINGSTON COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Livingston, CA. LIVINGSTON COMMUNITY HEALTH NPI is 1487012779. The provider is registered as an organization entity type.
The provider Is Doing Business As Wolves Wellness Center.

The provider's business location address is:

1617 MAIN ST
LIVINGSTON, CA
ZIP 95334-250
Phone: (209) 394-7913
Fax: (209) 394-3660

The provider's authorized official is Leslie T Mcgowan .
The authorized official title is C. E. O. and has the following contact phone number (209) 394-7913.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 2/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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