Organization Active NPI

Shelbyville Hospital Company LLC

  • 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
Practice address
1330 Cedar LN Ste 100
Tullahoma, TN 37388-2284
Phone
(931) 393-3366
Fax
(931) 393-1065
NPI assigned
Jan 19, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 0000000002 TN Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Tennova Healthcare Shelbyville RHC Doing business as
  • Tennova Internal Medicine-Cedar Ln Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2018.

{
    "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.