# SHELBYVILLE CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHELBYVILLE CLINIC CORP
- **Other names:** Surgical Specialty Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366458754
- **Legal business name:** SHELBYVILLE CLINIC CORP
- **Authorized official:** WILLIAM S HUSSEY (CHS SR GVP)
- **Authorized official phone:** (615) 465-7000

## Contact information

- **Practice address:** 841 UNION ST, SUITE 103, SHELBYVILLE, TN 37160-2610
- **Practice address phone:** (931) 685-0986
- **Mailing address:** 841 UNION ST, SUITE 103, SHELBYVILLE, TN 37160-2610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/07/2007