SHELBYVILLE HOSPITAL CORPORATION (NPI# 1720056369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720056369 |
| Entity Type | Organization |
| Organization Name | SHELBYVILLE HOSPITAL CORPORATION |
| Other Organization Name | WARTRACE FAMILY PRACTICE CLINIC |
| Practice Address |
507 Blackman Blvd W Wartrace TN 37183-2210 |
| Mailing Address |
Po Box 403621 Atlanta GA 30384-0001 |
| Practice Telephone | 9313890600 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Telephone | 8883739600 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHELBYVILLE HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0000000002 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wartrace Family Practice Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952638306 | Shelbyville Hospital Corporation | Sleep Specialist, PhD | 2839 Highway 231 N, Suite 109, Shelbyville, TN 37160-7447 | 2009-11-05 |
| 1801050844 | Shelbyville Hospital Corporation | Physician Assistant | 12 Magnolia Dr, Lynchburg, TN 37352-8373 | 2008-07-17 |
| 1487716890 | Shelbyville Hospital Corporation | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-12-14 |
| Street Address |
507 BLACKMAN BLVD W |
| City | WARTRACE |
| State | TN |
| Zip Code | 37183-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970549 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2020-10-21 |
| 1780103267 | Shelbyville Hospital Company LLC | Family Medicine | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2017-09-15 |
| 1376061275 | Shelbyville Hospital Company LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2017-08-31 |
| 1457682874 | Lacy Moore | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2010-01-25 |
| 1952561979 | Wartrace Family Practice LLC | Family Medicine | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2008-06-12 |
| 1780800961 | April K Bledsoe | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183 | 2007-04-17 |
| 1487716890 | Shelbyville Hospital Corporation | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061195 | Shouthern Transport, LLC | Non-emergency Medical Transport (VAN) | 733 Bell Buckle Rd, Wartrace, TN 37183-0216 | 2007-03-19 |
| 1871629972 | Wendy Michelle Burris | Military Health Care Provider | 556 White Rd, Wartrace, TN 37183-3481 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061195 | Shouthern Transport, LLC | Non-emergency Medical Transport (VAN) | 733 Bell Buckle Rd, Wartrace, TN 37183-0216 | 2007-03-19 |
| 1871629972 | Wendy Michelle Burris | Military Health Care Provider | 556 White Rd, Wartrace, TN 37183-3481 | 2007-02-26 |
| 1780800961 | April K Bledsoe | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183 | 2007-04-17 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970549 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2020-10-21 |
| 1376061275 | Shelbyville Hospital Company LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2017-08-31 |
| 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 | ||||
Please comment or provide details below to improve the information on SHELBYVILLE HOSPITAL CORPORATION.
| 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.