NPI 1699794578

Jellico Community Hospital INC.

Organisation Medicare Defined Swing Bed Hospital Unit Jellico, TN

Practice location

Address: 188 Hospital Lane, Jellico, TN 37762-4400
Phone: (423) 784-1334
Fax: (423) 784-1136
Mailing address: PO Box 844869, Dallas, TX 75284-4869

Authorised official

Name: Evelyn Ghulam
Title: Controller
Phone: (423) 784-1334

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence 0000000007 (TN)

Other Medicare Defined Swing Bed Unit providers in Tennessee →

Registry record

NPI: 1699794578
Entity type: Organization
NPI issued: 19 Jul 2006
Record last updated: 7 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.