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NPI Code Detail

MEDICARE: SHELBY COUNTY HEALTH CARE CORPORATION

MEDICARE: SHELBY COUNTY HEALTH CARE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician
2207RX0202XMedical Oncology Physician
3207VX0201XGynecologic Oncology Physician
42085R0202XDiagnostic Radiology Physician
5261QP2300XPrimary Care Clinic/Center
6207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1780685750
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELBY COUNTY HEALTH CARE CORPORATION
Provider Business Mailing Address
First Line : 877 JEFFERSON AVE
Second Line : ATTN: PROVIDER ENROLLMENT
City : MEMPHIS
State : TN
Zip : 38103-2807
Country : US
Telephone Number : 901-545-6286
Fax Number : 901-545-8122
Provider Business Practice Location Address
First Line : 877 JEFFERSON AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2807
Country : US
Telephone Number : 901-545-8336
Fax Number : 901-545-8122
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JAMES PROCTOR
Credential :
Telephone Number : 901-545-8254
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/20/2025

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1144225590 — DR. CLARE L MCCARTHY MD
Practice Location Address:
877 JEFFERSON AVE
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38103-2807
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1134121783 — JOHN H PURVIS MD
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853 JEFFERSON AVE STE E200
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Directions to “SHELBY COUNTY HEALTH CARE CORPORATION ” Practice Location

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