LIVINGSTON COMMUNITY HEALTH (NPI# 1487012779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487012779 |
| Entity Type | Organization |
| Organization Name | LIVINGSTON COMMUNITY HEALTH |
| Other Organization Name | WOLVES WELLNESS CENTER |
| Practice Address |
1617 Main St Livingston CA 95334-1250 |
| Mailing Address |
1140 Main St Livingston CA 95334-1257 |
| Practice Telephone | 2093947913 |
| Practice Fax Number | 2093943660 |
| Mailing Telephone | 2093947913 |
| Mailing Fax Number | 2093949093 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | LESLIE T MCGOWAN (C. E. O.) |
| Authorized Official Telephone | 2093947913 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | LIVINGSTON COMMUNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wolves Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175675 | Livingston Community Health | Pharmacy | 600 B St Ste B, Livingston, CA 95334-9593 | 2019-07-03 |
| 1245721539 | Livingston Community Health | Clinic/Center | 600 B Street, Suite A, B, C, Livingston, CA 95334-1257 | 2018-05-23 |
| 1730530254 | Livingston Community Health | Clinic/Center | 16233 King St, Delhi, CA 95315 | 2016-06-27 |
| 1295184117 | Livingston Community Health | Clinic/Center | 1010 W Las Palmas Ave Ste E, Patterson, CA 95363-8873 | 2016-06-10 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1508408550 | Livingston Community Health | Clinic/Center | 2412 3rd St, Hughson, CA 95326-9310 | 2019-10-10 |
| 1023650066 | Livingston Community Health | Clinic/Center | 800 Delbon Ave, Turlock, CA 95382-2022 | 2019-10-10 |
| 1124300207 | Livingston Community Health | Clinic/Center | 7970 Lander Ave, Suite A, Hilmar, CA 95324-8310 | 2011-09-14 |
| 1427110329 | Livingston Community Health | Clinic/Center | 1140 Main St, Livingston, CA 95334-1257 | 2006-12-15 |
| Street Address |
1617 MAIN ST |
| City | LIVINGSTON |
| State | CA |
| Zip Code | 95334-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311941 | Kevin Maurice Mcgauley | Nurse Practitioner | Livingston Community Health, 1140 Main Street, Livingston, CA 95334 | 2018-09-28 |
| 1225568801 | Jetinder Singh | Licensed Vocational Nurse | 1820 Sun Valley Ave, Livingston, CA 95334 | 2017-06-15 |
| 1114318821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 474 Winton Pkwy, Livingston, CA 95334 | 2015-02-17 |
| 1780015677 | Mark Kallini | Community Health Worker | 1201 Campbell Boulevard, Livingston, CA - CALIFORNIA 95334 | 2013-12-03 |
| 1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
| 1508340613 | Nareeta Sharma | Pharmacist | 500 Main St, Livingston, CA 95334 | 2018-09-24 |
| 1639663248 | Amandeep Kaur Johal | Registered Nurse | 1140 Main St, Livingston, CA 95334 | 2018-06-18 |
| 1548790314 | Lakhbir Bikramjit Singh Sodhi | Nurse Practitioner | 2275 F St Ste 1&2, Livingston, CA 95334 | 2017-06-14 |
| 1154717213 | Rohit Arora | Internal Medicine | 1140 Main St, Livingston, CA 95334 | 2015-04-15 |
| 1154529949 | Jeffrey Michael Carter | Dentist | 1112 Main St, Livingston, CA 95334 | 2007-07-03 |
| Find all providers in zip 95334 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245721539 | Livingston Community Health | Clinic/Center | 600 B Street, Suite A, B, C, Livingston, CA 95334-1257 | 2018-05-23 |
| 1861823379 | Primary Care Providers for A Healthy Feliciana Inc | Clinic/Center | 28315 S. Frost Rd, Livingston, LA 70754 | 2013-12-09 |
| 1013195221 | Livingston Community Health Services | Clinic/Center | 1140 Main St, Livingston, CA 95334-1257 | 2008-02-11 |
| 1427110329 | Livingston Community Health | Clinic/Center | 1140 Main St, Livingston, CA 95334-1257 | 2006-12-15 |
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| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 95334 |
Please comment or provide details below to improve the information on LIVINGSTON COMMUNITY HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.