# SHELBYVILLE HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Internal Medicine-N Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326556721
- **Authorized official:** PAULA LALOR (DIRECTOR)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
- **Practice address phone:** (931) 455-7767
- **Practice address fax:** (931) 455-8636
- **Mailing address:** 1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
- **Mailing address phone:** (931) 455-7767
- **Mailing address fax:** (931) 455-8636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0000000002 | TN | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 01/25/2018