Organization · Type 2 NPI

Shelbyville Hospital Corporation

Rural Health Clinic/Center · Wartrace, TN

NPI number 1720056369 Active

Practice location

507 Blackman Blvd W
Wartrace, TN 37183-2210

Call (931) 389-0600 Map

Mailing address

PO Box 403621
Atlanta, GA 30384-0001

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	0000000002 (TN)

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

Shelbyville Hospital Company LLCRural Health Clinic/Center Wartrace, TN NPI 1376061275
Shelbyville Hospital Company LLCFamily Medicine Physician Wartrace, TN NPI 1780103267
Shelbyville Hospital CorporationNurse Practitioner Wartrace, TN NPI 1487716890
Vanderbilt Bedford Hospital, LLCRural Health Clinic/Center Wartrace, TN NPI 1659970549
Wartrace Family Practice LLCFamily Medicine Physician Wartrace, TN NPI 1952561979
April K. Bledsoe, FNPFamily Nurse Practitioner Wartrace, TN NPI 1780800961
Lacy Moore, FNPFamily Nurse Practitioner Wartrace, TN NPI 1457682874

Other rural health clinic/center providers in Wartrace

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NPI record

NPI: 1720056369
Entity type: Organization (Type 2)
Issued: Mar 9, 2006
Last updated: Nov 6, 2007
Status: Active
Subpart: Yes of Shelbyville Hospital Corporation

Other names

<unavail>
Wartrace Family Practice Clinic · doing business as

Authorized official

William Hussey
Senior VP, Group Operations
(888) 373-9600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720056369

Shelbyville Hospital Corporation's National Provider Identifier is 1720056369, issued on Mar 9, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wartrace, TN. The record was last updated on Nov 6, 2007.