Organization
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Active
Organization
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Active
Other names
Eddyville Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A EDWARDS (CEO)
(270) 988-2299
Entity
Organization
Contact information
Practice address
209 W MAIN ST, EDDYVILLE, KY 42038-7752
(270) 388-0620
(270) 388-0604
Mailing address
209 W MAIN ST, EDDYVILLE, KY 42038-7752
(270) 388-0620
(270) 388-0604
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
3006657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78900280
—
KY
Enumeration date
05/14/2007
Last updated
06/02/2021
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