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JELLICO COMMUNITY HOSPITAL INC NPI 1073898714


NPI Information

NPI: 1073898714
Provider Name: JELLICO COMMUNITY HOSPITAL, INC

Doing Business As: JELLICO COMMUNITY HOSPITAL WOUND CARE CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
188 HOSPITAL LN
JELLICO, TN
ZIP 37762
Phone: (423) 784-1272
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JELLICO COMMUNITY HOSPITAL, INC is a medical specialty clinic center in Jellico, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JELLICO COMMUNITY HOSPITAL, INC NPI is 1073898714. The provider is registered as an organization entity type.
The provider Is Doing Business As Jellico Community Hospital Wound Care Center.

The provider's business location address is:

188 HOSPITAL LN
JELLICO, TN
ZIP 37762-400
Phone: (423) 784-1272
Fax: (423) 784-1136

The provider's authorized official is Evelyn Ghulam .
The authorized official title is Controller and has the following contact phone number (423) 784-1334.

The enumeration date for this NPI number is 10/13/2011 and was last updated on 3/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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