# LIVINGSTON REGIONAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Livingston Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396760542
- **Authorized official:** JOHNETTA TRAYLOR (DIRECTOR LICENSE AND CERTIFICATION)
- **Authorized official phone:** (502) 596-6063

## Contact information

- **Practice address:** 315 OAK ST, LIVINGSTON, TN 38570-1728
- **Practice address phone:** (931) 823-5611
- **Practice address fax:** (931) 403-2334
- **Mailing address:** 680 S 4TH ST, LOUISVILLE, KY 40202-2407
- **Mailing address fax:** (502) 212-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 0000000092 | TN | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 07/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01621986 | — | KY |
| 01 | — | 1000257 | BLUE CROSS | TN |