SHELBYVILLE HOSPITAL CORPORATION (NPI# 1801050844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801050844 |
Entity Type | Organization |
Organization Name | SHELBYVILLE HOSPITAL CORPORATION |
Other Organization Name | LYNCHBURG FAMILY MEDICINE AND MINOR EMERGENCY CENTER |
Practice Address |
12 Magnolia Dr Lynchburg TN 37352-8373 |
Practice Telephone | 9317595044 |
Mailing Telephone | 9317595044 |
Enumeration Date | 2008-07-17 |
Last Update Date | 2009-01-12 |
Authorized Official Name | MR. ALAN LOVELACE (CFO) |
Authorized Official Telephone | 9316858254 |
Is Organization Subpart | Y |
Parent Organization Name | SHELBYVILLE HOSPITAL CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | TN | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1509335 | 05 |
Other Name | Type Code |
---|---|
Lynchburg Family Medicine and Minor Emergency Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720056369 | Shelbyville Hospital Corporation | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-03-09 |
1952638306 | Shelbyville Hospital Corporation | Sleep Specialist, PhD | 2839 Highway 231 N, Suite 109, Shelbyville, TN 37160-7447 | 2009-11-05 |
1487716890 | Shelbyville Hospital Corporation | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-12-14 |
Street Address |
12 MAGNOLIA DR |
City | LYNCHBURG |
State | TN |
Zip Code | 37352-8373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659364669 | Lynchburg Family Medicine and Minor Emergency Center PC | Physician Assistant | 12 Magnolia Dr, Lynchburg, TN 37352-8373 | 2005-08-24 |
1497713804 | Conan M Carter | Nurse Practitioner | 12 Magnolia Dr, Lynchburg, TN 37352-8373 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053455758 | Robert W Gray | Durable Medical Equipment & Medical Supplies | 47 Mechanic St, Eastside Public Square, Lynchburg, TN 37352 | 2007-02-16 |
1134402167 | Cynthia Lynn Shelton | Nurse's Aide | 151 Majors Blvd, Moore, TN 37352 | 2011-09-26 |
1649597915 | Sara Elizabeth Bates | Registered Nurse | 151 Majors Blvd, Room 1, Lynchburg, TN 37352-0196 | 2010-04-27 |
1306209218 | Highlands Consulting LLC | Dentist | 488 Hurricane Creek Rd, Lynchburg, TN 37352-5607 | 2016-03-30 |
1245530708 | Penelope A. Smith | Counselor | 10466 Chestnut Ridge Rd, Lynchburg, TN 37352-5629 | 2010-10-29 |
1831583475 | Robert Price | Physical Therapist | 398 Coopers Creek Ln, Lynchburg, TN 37352-5677 | 2015-03-21 |
1265621270 | Judy Carol Merritt | Dietitian, Registered | 326 Shasteen Hollow Rd, Lynchburg, TN 37352-5954 | 2007-10-16 |
1356892483 | Dalton Barrier | Student in an Organized Health Care Education/Training Program | 350 Lake Forrest Rd, Lynchburg, TN 37352-5991 | 2016-10-24 |
1013254655 | Univita of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 783 Fayetteville Hwy, Lynchburg, TN 37352-7008 | 2013-01-15 |
1336573740 | Cathleen Marie Vaughan | Social Worker | 185 Crest Dr, Lynchburg, TN 37352-7068 | 2013-08-22 |
Find all providers in zip 37352 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306811880 | Robert R Yasui | Clinic/Center | 40 Lynchburg Hwy, Lynchburg, TN 37352-7449 | 2006-02-20 |
1639470388 | Highland District Hospital Professional Services Corporation | Clinic/Center | 8900 State Route 134, Lynchburg, OH 45142-9272 | 2010-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.