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CH0919630 LIVINGSTON COMMUNITY HEALTH (Terminated)
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Main Details
Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
LIVINGSTON HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003882
340B ID
CH0919630
Grant Number
H80CS02588
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
10/15/2004
Last Recertification Date
2/5/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Livingston Community Health
Leslie Abasta-Cummings, CEO
(209) 850-3545
Primary Contact
Livingston Community Health
Jamie Eliison, Training Developer
(209) 850-3500 Ext: 1408
Addresses
Street Address
1140 MAIN STREET
LIVINGSTON, CA 95334
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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02/10/2006
April 2025
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