Healthcare Provider Details

I. General information

NPI: 1811021694
Provider Name (Legal Business Name): BEDFORD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 DOVER ST
SHELBYVILLE TN
37160-2776
US

IV. Provider business mailing address

140 DOVER ST
SHELBYVILLE TN
37160-2776
US

V. Phone/Fax

Practice location:
  • Phone: 931-684-4000
  • Fax:
Mailing address:
  • Phone: 931-684-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: AMANDA FINLEY
Title or Position: NURSING SUPERVISOR
Credential: RN
Phone: 931-684-3426