# VANDERBILT BEDFORD HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vanderbilt Integrated Primary Care Shelbyville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952900862
- **Authorized official:** ANGELA L SIMMONS (VP - FINANCE)
- **Authorized official phone:** (615) 936-8875

## Contact information

- **Practice address:** 1612 N MAIN ST STE B, SHELBYVILLE, TN 37160-2392
- **Practice address phone:** (931) 685-2022
- **Mailing address:** 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 03/31/2022