Organization
SHELBYVILLE HOSPITAL CORPORATION
Active
Parent organization
SHELBYVILLE HOSPITAL CORPORATION
Other names
Lynchburg Family Medicine and Minor Emergency Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELBYVILLE HOSPITAL CORPORATION
Authorized official
MR. ALAN LOVELACE (CFO)
(931) 685-8254
Entity
Organization
Contact information
Practice address
12 MAGNOLIA DR, LYNCHBURG, TN 37352-8373
(931) 759-5044
Mailing address
12 MAGNOLIA DR, LYNCHBURG, TN 37352-8373
(931) 759-5044
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TN
363A00000X
Physician Assistant
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509335
—
TN
Enumeration date
07/17/2008
Last updated
01/12/2009
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