NPIMap

Organization Active NPI

Shelby County Health Care Corp.

Doing business as Health Loop

  • Primary Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1922375633
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHELBY COUNTY HEALTH CARE CORP.
Doing business as
Health Loop
Practice address
2574 Frayser Blvd
Memphis, TN 38127-5829
Phone
(901) 515-5300
Fax
(901) 515-5390
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SHELBY COUNTY HEALTH CARE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Robert Sumter, PHD
Title
Coo/Cio/VP
Phone
(901) 545-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2574 Frayser Blvd
Memphis, TN 38127-5829

Mailing address

877 Jefferson Ave
5TH Floor Adams Pavilion
Memphis, TN 38103-2807
Phone (901) 515-4529

Other names 1

  • Health Loop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regional Med Ctr of MPHS9 organizations share this tax ID, including this one
Part of
Regional Med Ctr of MPHS

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": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1922375633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "5TH FLOOR ADAMS PAVILION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-515-4529",
            "fax_number": "901-515-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275829",
            "telephone_number": "901-515-5300",
            "fax_number": "901-515-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY HEALTH CARE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBY COUNTY HEALTH CARE CORP.",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "SUMTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO/CIO/VP",
        "authorized_official_telephone_number": "901-545-6763",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Loop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.