Lumira Healthcare
Clinic/Center, Federally Qualified Health Center (FQHC) in Modesto, CA. Organization (NPI-2).
NPI number1649099151
StatusActive
Last updated in NPPESSep 2, 2026
Details
- NPI
- 1649099151
- Entity type
- Organization (NPI-2)
- Legal business name
- Lumira Healthcare
- Organization subpart
- No
- Enumeration date
- Oct 10, 2024
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Modesto Florida Ave Center (Doing Business As)
Practice location
1444 Florida Ave Ste 202Modesto, CA 95350-4400
Phone 209-850-3500 · Fax 209-850-3499
Mailing address
600 B St Bldg A-CLivingston, CA 95334-9593
Phone 209-850-3500 · Fax 209-850-3499
Authorized official
Leslie Abasta-Cummings
Ceo
2098503500
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