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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