SHELBYVILLE HOSPITAL CORPORATION NPI 1720056369

NPI Information

NPI: 1720056369
Provider Name: SHELBYVILLE HOSPITAL CORPORATION

Doing Business As: WARTRACE FAMILY PRACTICE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
507 BLACKMAN BLVD W
WARTRACE, TN
ZIP 37183
Phone: (931) 389-0600
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SHELBYVILLE HOSPITAL CORPORATION is a rural health clinic center in Wartrace, TN. SHELBYVILLE HOSPITAL CORPORATION NPI is 1720056369. The provider is registered as an organization entity type.
The provider Is Doing Business As Wartrace Family Practice Clinic.

The provider's business location address is:

507 BLACKMAN BLVD W
WARTRACE, TN
ZIP 37183-210
Phone: (931) 389-0600

The provider's authorized official is William Hussey .
The authorized official title is Senior Vp, Group Operations and has the following contact phone number (888) 373-9600.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 11/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	0000000002	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	443439	MEDICARE OSCAR/CERTIFICATION	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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