Shelbyville Hospital Company LLC

Organization Active NPI Rural Health Clinic/Center · Tullahoma, TN

NPI 1720596125 · NPPES record last updated Mar 9, 2018

Key facts

NPI
1720596125
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
0000000002 (TN)
Legal business name
SHELBYVILLE HOSPITAL COMPANY LLC
Practice address
1440 Cedar LN Unit 100
Tullahoma, TN 37388-2262
Phone
(931) 393-7060
Fax
(931) 222-4303
NPI assigned
Jan 19, 2018
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Lynchburg Family Medicine (9 organizations share this tax ID)

Specialties & licenses

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

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

  • Tennova Pediatrics-Cedar Ln Doing business as

Other providers in Tullahoma, TN

All providers in Tullahoma, TN · Rural Health Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.