| Livingston Community Health | |
|
16233 King St Delhi CA 95315 | |
| (209) 394-7913 | |
| (209) 394-9093 |
| Full Name | Livingston Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 16233 King St, Delhi, California |
| Authorized Official Name and Position | Leslie Tamiko Mcgowan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093947913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Community Health 1140 Main St Livingston CA 95334-1257 Ph: (209) 394-7913 | Livingston Community Health 16233 King St Delhi CA 95315 Ph: (209) 394-7913 |
| NPI Number | 1730530254 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 8820084692 |
|---|---|
| Medicare Enrollment ID | O20180208002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730530254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Merced Faculty Associates Medical Group Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9696 Stephens St, Delhi, CA 95315 Phone: 209-667-0702 Fax: 209-667-6737 |