Organization Active NPI

Shelby Community Health Center

  • Public Health or Welfare Agency
  • Shelbyville, IN
National Provider Identifier
1316175268
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
01050948 Issued in IN
Legal business name
SHELBY COMMUNITY HEALTH CENTER
Practice address
1640 E State Road 44 Ste B
Shelbyville, IN 46176-4030
Phone
(317) 392-3779
Fax
(317) 398-0662
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Alecia Marie Nash
Title
Executive Director
Phone
(317) 392-3779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 01035345 IN
Public Health or Welfare Agency 251K00000X 01050948 IN Primary

Addresses

Primary practice location

1640 E State Road 44 Ste B
Shelbyville, IN 46176-4030

Mailing address

1640 E State Road 44 Ste B
Shelbyville, IN 46176-4030
Phone (317) 392-3779

National Provider Directory

National Provider Directory

Locations

1640 E State Road 44
Ste B
Shelbyville, IN 46176
Phone (317) 392-3779

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1316175268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E STATE ROAD 44 STE B",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461764030",
            "telephone_number": "317-392-3779",
            "fax_number": "317-398-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E STATE ROAD 44 STE B",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461764030",
            "telephone_number": "317-392-3779",
            "fax_number": "317-398-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-392-3779"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "01035345",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "01050948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.