Jellico Community Hospital

LBN: Jellico Community Hospital Inc.
Jellico Community Hospital is an health care organization with primary practice located at 188 Hospital Lan , Jellico TN 37762-4400. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Jellico Community Hospital Inc. can be contacted via phone (423) 784-1334, or through Ghulam, Evelyn via phone (423) 784-1334.

Contact Information

Primary practice address
188 Hospital Lan Jellico TN 37762-4400
Phone: (423) 784-1334
Fax: (423) 784-1136
Website:
Map and Directions
Authorized official contact:
Name: Ghulam, Evelyn
Phone: (423) 784-1334

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 0000000007 Tennessee

Profile Details

NPI number 1588679898
LBN Legal business name Jellico Community Hospital Inc.
DBA Doing business as Jellico Community Hospital
Authorized official Ghulam, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jun 7th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588679898 NPPES
Tennessee Other 397905000 FEDERAL BLACK LUNG
Tennessee Other 440180 FEDERAL BLACK LUNG
Tennessee Other 54976 FEDERAL BLACK LUNG
Tennessee Other 1530476 FEDERAL BLACK LUNG
Tennessee Other 440180 FEDERAL BLACK LUNG
Tennessee Other A3776201 FEDERAL BLACK LUNG
Tennessee Other A3776201 FEDERAL BLACK LUNG
Tennessee Other 55620496 FEDERAL BLACK LUNG
Tennessee Other 6530360 FEDERAL BLACK LUNG
Tennessee MEDICAID 0440180 FEDERAL BLACK LUNG
Tennessee MEDICAID 162084800 FEDERAL BLACK LUNG
Tennessee Other 1000250 FEDERAL BLACK LUNG
Tennessee Other 450003829 FEDERAL BLACK LUNG
Tennessee Other 54976 FEDERAL BLACK LUNG

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