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CH091963G LIVINGSTON COMMUNITY HEALTH (Active)
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Main Details
Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
Livingston Community Health Campus, B Street, Buildings A, B, C
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024902
340B ID
CH091963G
Grant Number
H80CS02588
Additional Details
Current Program Status
Active
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/16/2019
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
600 B Street BLDG A, B, C
Livingston, CA 95334-9593
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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