Shelbyville Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

0000000002 Issued in TN

Legal business name

SHELBYVILLE HOSPITAL CORPORATION

Doing business as

Wartrace Family Practice Clinic

Practice address

507 Blackman Blvd W
Wartrace, TN 37183-2210

Phone

(931) 389-0600

NPI assigned

Mar 9, 2006

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

SHELBYVILLE HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

William Hussey

Title

Senior VP, Group Operations

Phone

(888) 373-9600

Specialties & licenses 1

Addresses

Other names 1

• Wartrace Family Practice Clinic Doing business as

Part of

Heritage Sleep Center

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1720056369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403621",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BLACKMAN BLVD W",
            "city": "WARTRACE",
            "state": "TN",
            "postal_code": "371832210",
            "telephone_number": "931-389-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBYVILLE HOSPITAL CORPORATION",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "0000000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wartrace Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellaleigh Bjork Hall
• Lacy Moore, FNP
• Shelbyville Hospital Company LLC (Tennova Family Care- Wartrace)
• Shelbyville Hospital Company LLC (Tennova Family Care-Wartrace)
• Shelbyville Hospital Corporation (Wartrace Family Practice Center)
• Shouthern Transport, LLC
• Vanderbilt Bedford Hospital, LLC (Vanderbilt Integrated Primary Care Wartrace)
• Wartrace Family Practice LLC

• Rural Health Clinic/Center in Wartrace, TN
• Providers in Wartrace, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.