Organization
SHELBYVILLE HOSPITAL COMPANY LLC
Active
Other names
Tennova Family Care-Main Street
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1612 N MAIN ST STE B, SHELBYVILLE, TN 37160-2392
(931) 685-2022
Mailing address
1612 N MAIN ST STE B, SHELBYVILLE, TN 37160-2392
(931) 685-2022
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000000002
TN
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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