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Organization
JELLICO COMMUNITY HOSPITAL, INC
Active
Organization
JELLICO COMMUNITY HOSPITAL, INC
Active
Other names
Jellico Community Hospital Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN GHULAM (CONTROLLER)
(423) 784-1334
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-1272
(423) 784-1136
Mailing address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-1272
(423) 784-1136
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2011
Last updated
03/10/2016
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