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General NPI Number Information
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NPI Number | 1144213117
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Entity Type | Organization
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Legal Business Name | SHELBY COUNTY HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 877 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-545-6265
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Fax | 901-545-8194
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Provider Business Mailing Address
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Address Line | 877 JEFFERSON AVE ADMINISTRATION
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-545-6265
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Fax | 901-545-8194
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Authorized Official
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Title or Position | SVP/CHIEF FINANCIAL OFFICER
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Name | JAMES PROCTOR
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Credential |
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Telephone | 901-545-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | TN
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