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CH091963M LIVINGSTON COMMUNITY HEALTH (ToBeTerminated)
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Main Details
Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
Modesto Health Center - Florida Ave
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039164
340B ID
CH091963M
Grant Number
H80CS02588
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/27/2025
Last Recertification Date
Termination Date
Termination Reason
7/1/2025
Other
Contacts
Authorizing Official
Livingston Community Health
Leslie Abasta-Cummings, CEO
(209) 850-3545
Primary Contact
Livingston Community Health
Erin Pilot, Chief Financial Officer
(209) 850-3500 Ext: 1362
Addresses
Street Address
1444 Florida Ave
Modesto, CA 95350-4400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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