| County Of Stanislaus | |
|
2412 Third Street Hughson CA 95326-0249 | |
| (209) 558-7250 | |
| Not Available |
| Full Name | County Of Stanislaus |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2412 Third Street, Hughson, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Stanislaus Po Box 249 Hughson CA 95326-0249 Ph: (209) 558-7250 | County Of Stanislaus 2412 Third Street Hughson CA 95326-0249 Ph: (209) 558-7250 |
| NPI Number | 1366648016 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366648016 | NPI | - | NPPES |
| FHC18531F | Other | CA | MEDICAL |
| HAP18531F | Other | CA | FAMILY PACT |
| RHM18531F | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2412 3rd St, Hughson, CA 95326 Phone: 209-850-3500 |