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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