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Organization
LIVINGSTON REGIONAL HOSPITAL LLC
Active
Organization
LIVINGSTON REGIONAL HOSPITAL LLC
Active
Other names
Livingston Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIRECTOR LICENSE AND CERTIFICATION)
(502) 596-6063
Entity
Organization
Contact information
Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-5611
(931) 403-2334
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 212-8481
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
0000000092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01621986
—
KY
01
—
1000257
BLUE CROSS
TN
Enumeration date
07/12/2006
Last updated
07/16/2025
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