VANDERBILT INTEGRATED URGENT CARE
NPI 1932708658
Clinic/Center - Rural Health in Shelbyville, TN

Active since October 23, 2020CLIA 44D1066738 · Waiver
1612 N MAIN ST STE A, SHELBYVILLE, TN 37160(931) 680-8910 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2021, Dec 16, 2020, Dec 11, 2020 and 1 more (4 updates tracked since 2020).

About Vanderbilt Integrated Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANDERBILT INTEGRATED URGENT CARE (NPI 1932708658) is a healthcare organization registered as a rural health in Shelbyville, Tennessee and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Angela L Simmons, Vp - Finance, as its authorized official.

NPPES Registry Identity

NPI1932708658
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT BEDFORD HOSPITAL, LLC
Location Address1612 N MAIN ST STE AShelbyville, TN 37160-2392
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Organization SubpartNo
Authorized OfficialAngela L SimmonsVp - Finance · (615) 936-8875
Enumeration DateOctober 23, 2020
Last NPPES UpdateMarch 31, 20224 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1932708658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1612 N MAIN ST STE A, Shelbyville, TN 37160

Other Names 1

Doing Business AsVanderbilt Integrated Urgent Care

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1066738

Vanderbilt Bedford Hospital, LLC Dba Vanderbilt Intergrated Urgent Care · Shelbyville, TN
Active · expires Apr 1, 2027
CLIA Number44D1066738
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorDr. Jack C. Clark
Laboratory Phone(931) 680-8910
Laboratory LocationVanderbilt Bedford Hospital, LLC Dba Vanderbilt Intergrated Urgent Care1612 N Main Street-Suite A, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1612 N MAIN ST STE A
SHELBYVILLE, TN 37160
Clinic/Center (Rural Health)
1612 N MAIN ST STE A
SHELBYVILLE, TN 37160
Nurse Practitioner (Family)
1612 N MAIN ST STE A
SHELBYVILLE, TN 37160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanderbilt Bedford Hospital, LLC's NPI number?

The NPI number for Vanderbilt Bedford Hospital, LLC is 1932708658. It was assigned to this organization in the NPPES registry on October 23, 2020. The provider is doing business as Vanderbilt Integrated Urgent Care.

Where is Vanderbilt Bedford Hospital, LLC located?

Vanderbilt Bedford Hospital, LLC is located at 1612 N Main St Ste A, Shelbyville, TN 37160. The listed phone number is (931) 680-8910.

What is Vanderbilt Bedford Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Vanderbilt Bedford Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1066738) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Bedford Hospital, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Vanderbilt Bedford Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vanderbilt Bedford Hospital, LLC was last updated on March 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.