Shelbyville Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHELBYVILLE HOSPITAL CORPORATION

Practice address

12 Magnolia Dr
Lynchburg, TN 37352-8373

Phone

(931) 759-5044

NPI assigned

Jul 17, 2008

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

Mr. Alan Lovelace

Title

Cfo

Phone

(931) 685-8254

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lynchburg Family Medicine and Minor Emergency Center Doing business as

Part of

Lynchburg Family Medicine

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1801050844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA DR",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528373",
            "telephone_number": "931-759-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA DR",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528373",
            "telephone_number": "931-759-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBYVILLE HOSPITAL CORPORATION",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-685-8254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509335",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynchburg Family Medicine and Minor Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metropolitan Lynchburg-Moore County
• Robert Price, PT
• Deadra Renea Quinn, APN
• Robert R Yasui
• Robert W Gray
• Penelope A. Smith, M.A.
• State of Tennessee
• Jana M. Stovall, NP
• Univita of Tennessee, Inc.
• Cathleen Marie Vaughan, M.S.S.W.

• Rural Health Clinic/Center in Lynchburg, TN
• Providers in Lynchburg, 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 Jan 12, 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.