Healthcare Provider Details

I. General information

NPI: 1629371166
Provider Name (Legal Business Name): BEDFORD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 12/06/2010
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: 931-684-3426
  • Fax: 931-684-5860
Mailing address:
  • Phone: 931-684-3426
  • Fax: 931-684-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberRN0000165935
License Number StateTN

VIII. Authorized Official

Name: JILL MURDOCK
Title or Position: RN
Credential:
Phone: 931-684-3426