Jellico Community Hospital, Inc is a primary clinic (Clinic/center - Multi-specialty) in Willaimsburg, Kentucky. The current practice location for Jellico Community Hospital, Inc is 998 South Highway 25w, Willaimsburg, Kentucky. For appointments, you can reach them via phone at
(606) 549-1183. The mailing address for Jellico Community Hospital, Inc is 188 Hospital Lane, Jellico, Tennessee and phone number is (423) 784-7252.
Jellico Community Hospital, Inc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1407154800. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(606) 549-1183.
Primary Care Clinic Profile
| Full Name | Jellico Community Hospital, Inc |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 998 South Highway 25w, Willaimsburg, Kentucky |
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| Authorized Official Name and Position | Evelyn Ghulam (CONTROLLER) |
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| Authorized Official Contact | 4237841334 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jellico Community Hospital, Inc
188 Hospital Lane
Jellico
TN 37762-4433
Ph: (423) 784-7252 | Jellico Community Hospital, Inc
998 South Highway 25w
Willaimsburg
KY 40769
Ph: (606) 549-1183 |
NPI Details:
| NPI Number | 1407154800 |
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| Provider Enumeration Date | 03/09/2011 |
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| Last Update Date | 03/10/2016 |
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Medical Identifiers
Medical identifiers for Jellico Community Hospital, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407154800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA071 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3007739 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3004431 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3002560 (Kentucky) | Secondary |
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