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JELLICO COMMUNITY HOSPITAL WOUND CARE CENTER
NPI 1073898714
Clinic/Center - Medical Specialty in Jellico, TN

Active since October 13, 2011
188 HOSPITAL LN, JELLICO, TN 37762(423) 784-1272(423) 784-1136 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jellico Community Hospital Wound Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JELLICO COMMUNITY HOSPITAL WOUND CARE CENTER (NPI 1073898714) is a healthcare organization registered as a medical specialty in Jellico, Tennessee and active in the NPI registry since October 2011. The organization lists Evelyn Ghulam, Controller, as its authorized official.

NPPES Registry Identity

NPI1073898714
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJELLICO COMMUNITY HOSPITAL, INC
Location Address188 HOSPITAL LNJellico, TN 37762-4400
Mailing Address188 Hospital LnJellico, TN 37762-4400 · (423) 784-1272 · Fax (423) 784-1136
Phone(423) 784-1272
Fax(423) 784-1136
Organization SubpartNo
Authorized OfficialEvelyn GhulamController · (423) 784-1334
Enumeration DateOctober 13, 2011
Last NPPES UpdateMarch 10, 2016
✔ NPI 1073898714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
188 HOSPITAL LN, Jellico, TN 37762
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Other Names 1

Doing Business AsJellico Community Hospital Wound Care Center

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSIVE HEALTH OF JELLICO LLC
Medicare Defined Swing Bed Unit
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 455-0245
JELLICO MEDICAL CENTER, INC.
General Acute Care Hospital
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-7252
JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC
Emergency Medicine
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-7252
JELLICO REGIONAL HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-7252
JELLICO SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 405-0060
DR. TERRENCE WESLEY LEVECK MD
Emergency Medicine
188 HOSPITAL LN, JELLICO COMMUNITY HOSPITAL
JELLICO, TN 37762
Campbell County (800) 944-7252
SARAH ROBERTS PHARMD
Pharmacist
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 671-7002
RUCHI GUPTA MD
Emergency Medicine
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-1238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jellico Community Hospital, Inc's NPI number?

The NPI number for Jellico Community Hospital, Inc is 1073898714. It was assigned to this organization in the NPPES registry on October 13, 2011. The provider is doing business as Jellico Community Hospital Wound Care Center.

Where is Jellico Community Hospital, Inc located?

Jellico Community Hospital, Inc is located at 188 Hospital Ln, Jellico, TN 37762. The listed phone number is (423) 784-1272.

What is Jellico Community Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jellico Community Hospital, Inc was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.