Provider Demographics
NPI:1952638306
Name:SHELBYVILLE HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:SHELBYVILLE HOSPITAL CORPORATION
Other - Org Name:HERITAGE SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-685-5433
Mailing Address - Street 1:2839 HIGHWAY 231 N
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-7447
Mailing Address - Country:US
Mailing Address - Phone:931-685-8740
Mailing Address - Fax:931-685-8741
Practice Address - Street 1:2839 HIGHWAY 231 N
Practice Address - Street 2:SUITE 109
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-7447
Practice Address - Country:US
Practice Address - Phone:931-685-8740
Practice Address - Fax:931-685-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty