OrganizationActive
Livingston Hospital and Healthcare Services, Inc.
NPI 1669612008 · Multi-Specialty Clinic/Center · Grand Rivers, KY
Provider details
- NPI number
- 1669612008
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Edwards, Administrator//Ceo(270) 988-7235
- License
- 900135 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1860 J.h. O'Bryan Ave.
Grand Rivers, KY 42045
Phone: (270) 362-8246
Fax: (270) 362-9757
Street-level locationGet directions
Mailing address
131 Hospital Dr
Salem, KY 42078-8043
Other names (DBA / former)
- Doing business as
- Grand Lakes Clinic
Registry dates
- Enumerated
- 2009-02-25
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.