# SHELBYVILLE HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHELBYVILLE HOSPITAL CORPORATION
- **Other names:** Wartrace Family Practice Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720056369
- **Legal business name:** SHELBYVILLE HOSPITAL CORPORATION
- **Authorized official:** WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS)
- **Authorized official phone:** (888) 373-9600

## Contact information

- **Practice address:** 507 BLACKMAN BLVD W, WARTRACE, TN 37183-2210
- **Practice address phone:** (931) 389-0600
- **Mailing address:** PO BOX 403621, ATLANTA, GA 30384-0001

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 11/06/2007
