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JELLICO HEALTHCARE ASSOCIATES LLC NPI 1497297949


NPI Information

NPI: 1497297949
Provider Name: JELLICO HEALTHCARE ASSOCIATES LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
188 HOSPITAL LN
JELLICO, TN
ZIP 37762
Phone: (423) 784-7252
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JELLICO HEALTHCARE ASSOCIATES LLC is an emergency medicine in Jellico, TN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. JELLICO HEALTHCARE ASSOCIATES LLC NPI is 1497297949. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

188 HOSPITAL LN
JELLICO, TN
ZIP 37762-400
Phone: (423) 784-7252

The provider's authorized official is Kim Dowell .
The authorized official title is Ceo and has the following contact phone number (423) 784-7252.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency MedicineYes

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: 4/28/2024

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