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CH091963N LIVINGSTON COMMUNITY HEALTH (Approved)
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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-H80-039813
340B ID
CH091963N
Grant Number
H80CS02588
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/6/2025
Last Recertification Date
Contacts
Authorizing Official
Livingston Community Health
Leslie Abasta-Cummings, Chief Executive Officer
(209) 850-3545
Primary Contact
Livingston Community Health
Erin Pilot, Chief Financial Officer
(209) 850-3500 Ext: 1362
Addresses
Street Address
1444 Florida Ave, Suite 202
Modesto, CA 95350-4400
Billing Address
Livingston Community Health
600 B Street, Bldg A
Livingston, CA 95334
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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