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CH091963D LIVINGSTON COMMUNITY HEALTH (Active)
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Main Details
Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
Wolves Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018443
340B ID
CH091963D
Grant Number
H80CS02588
Additional Details
Current Program Status
Active
Registration Date
10/13/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
3/3/2025
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
1617 Main St. RM 200 & 201
Livingston, CA 95334-1250
Billing Address
Livingston Community Health
600 B Street
Building A
Livingston, CA 95334
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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