WOLVES WELLNESS CENTER
NPI 1487012779
Clinic/Center - Federally Qualified Health Center (FQHC) in Livingston, CA
Active since February 02, 2016
About Wolves Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOLVES WELLNESS CENTER (NPI 1487012779) is a healthcare organization registered as a federally qualified health center (fqhc) in Livingston, California and active in the NPI registry since February 2016. The organization lists Leslie T Mcgowan, C. E. O., as its authorized official.
NPPES Registry Identity
NPI1487012779
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLIVINGSTON COMMUNITY HEALTH
Location Address1617 MAIN STLivingston, CA 95334-1250
Mailing Address1140 Main StLivingston, CA 95334-1257 · (209) 394-7913 · Fax (209) 394-9093
Phone(209) 394-7913
Fax(209) 394-3660
Organization SubpartYes
Authorized OfficialLeslie T McgowanC. E. O. · (209) 394-7913
Enumeration DateFebruary 2, 2016
✔ NPI 1487012779 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1617 MAIN ST, Livingston, CA 95334
Other Names 1
Doing Business AsWolves Wellness Center
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487012779, enumerated as an "organization" on February 02, 2016.
The provider is located at 1617 MAIN ST LIVINGSTON, CA 95334 and the phone number is (209) 394-7913.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
