Healthcare Provider Details

I. General information

NPI: 1245654094
Provider Name (Legal Business Name): LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 HOSPITAL DR
SALEM KY
42078-8043
US

IV. Provider business mailing address

131 HOSPITAL DR
SALEM KY
42078-8043
US

V. Phone/Fax

Practice location:
  • Phone: 270-988-2299
  • Fax: 270-988-3900
Mailing address:
  • Phone: 270-988-2299
  • Fax: 270-988-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number600071
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number600071
License Number StateKY

VIII. Authorized Official

Name: ROD SHANE WHITTINGTON
Title or Position: CEO
Credential:
Phone: 270-988-7236