NPIMap

Organization Active NPI

Shelbyville Hospital Company LLC

Doing business as Tennova Pediatrics-Cedar Ln

  • Rural Health Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1720596125
Registry record updated Mar 9, 2018
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
Doing business as
Tennova Pediatrics-Cedar Ln
Practice address
1440 Cedar LN Unit 100
Tullahoma, TN 37388-2262
Phone
(931) 393-7060
Fax
(931) 222-4303
NPI assigned
Jan 19, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Paula 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

1440 Cedar LN Unit 100
Tullahoma, TN 37388-2262

Mailing address

1440 Cedar LN Unit 100
Tullahoma, TN 37388-2262
Phone (931) 393-7060

Other names 1

  • Tennova Pediatrics-Cedar Ln Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shelbyville Hospital Corp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1440 Cedar Ln
Ste 100
Tullahoma, TN 37388
Phone (931) 393-7060

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1720596125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CEDAR LN UNIT 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882262",
            "telephone_number": "931-393-7060",
            "fax_number": "931-222-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CEDAR LN UNIT 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882262",
            "telephone_number": "931-393-7060",
            "fax_number": "931-222-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "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 Pediatrics-Cedar Ln",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennova Pediatrics-Cedar Ln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.