Organization Active NPI

Shelbyville Hospital Company LLC

  • Rural Health Clinic/Center
  • Unionville, TN
National Provider Identifier
1013435908
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
0000000002 Issued in TN
Legal business name
SHELBYVILLE HOSPITAL COMPANY LLC
Practice address
3335 Highway 41a N
Unionville, TN 37180-5033
Phone
(931) 294-8464
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula M Lalor
Title
Director
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 0000000002 TN Primary

Addresses

Primary practice location

3335 Highway 41a N
Unionville, TN 37180-5033

Mailing address

3335 Highway 41a N
Unionville, TN 37180-5033
Phone (931) 294-8464

Other names 1

  • Tennova Family Care-Unionville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3335 Highway 41A N
Unionville, TN 37180
Phone (931) 294-8464

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2021 Change of OwnershipThis provider was the seller Vanderbilt Integrated Primary Care UnionvilleCCN 443456, TN, NPI 1386243293

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013435908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 HIGHWAY 41A N",
            "city": "UNIONVILLE",
            "state": "TN",
            "postal_code": "371805033",
            "telephone_number": "931-294-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 HIGHWAY 41A N",
            "city": "UNIONVILLE",
            "state": "TN",
            "postal_code": "371805033",
            "telephone_number": "931-294-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "0000000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Family Care-Unionville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Unionville, TN

Sources for this page

Verify at the official NPI Registry.