Organization
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A EDWARDS (CHIEF EXECUTIVE OFFICER)
(270) 988-2299
Entity
Organization
Contact information
Practice address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-2299
(270) 988-3900
Mailing address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-2299
(270) 988-3900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
600071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323571
BCBS CRNA GROUP
KY
05
—
7490075400
—
KY
01
—
CG7298
RAILROAD MEDICARE
KY
Enumeration date
12/15/2005
Last updated
08/08/2011
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