Organization Active NPI

Shelbyville Hospital Company LLC

Doing business as Tennova Healthcare Shelbyville RHC

  • Rural Health Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1871001271
Registry record updated Jan 23, 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 Healthcare Shelbyville RHC
Tennova Internal Medicine-Cedar Ln
Practice address
1330 Cedar LN Ste 100
Tullahoma, TN 37388-2284
Phone
(931) 393-3366
Fax
(931) 393-1065
NPI assigned
Jan 19, 2018
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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

1330 Cedar LN Ste 100
Tullahoma, TN 37388-2284

Mailing address

1330 Cedar LN Ste 100
Tullahoma, TN 37388-2284
Phone (931) 393-3366

Other names 2

  • Tennova Healthcare Shelbyville RHC Doing business as
  • Tennova Internal Medicine-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.

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": "1516665600000",
    "number": "1871001271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN STE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882284",
            "telephone_number": "931-393-3366",
            "fax_number": "931-393-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN STE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882284",
            "telephone_number": "931-393-3366",
            "fax_number": "931-393-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-23",
        "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 Healthcare Shelbyville RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennova Internal Medicine-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 Jan 23, 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.