Organization
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Active
Organization
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Active
Other names
Grand Lakes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A EDWARDS (ADMINISTRATOR//CEO)
(270) 988-7235
Entity
Organization
Contact information
Practice address
1860 J.H. O'BRYAN AVE., GRAND RIVERS, KY 42045
(270) 362-8246
(270) 362-9757
Mailing address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-7296
(270) 988-3900
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
900135
KY
Other
Enumeration date
02/25/2009
Last updated
08/05/2011
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