Jellico Medical Center, INC.
General Acute Care Hospital in Jellico, TN. Organization (NPI-2).
NPI number1083171664
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1083171664
- Entity type
- Organization (NPI-2)
- Legal business name
- Jellico Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2019
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | – | – | Yes |
Practice location
188 Hospital LnJellico, TN 37762-4400
Phone 423-784-7252
Mailing address
188 Hospital LnJellico, TN 37762-4400
Phone 423-784-7252
Authorized official
Hal West Leftwich
Ceo
4237847252
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