# JELLICO COMMUNITY HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669316204
- **Authorized official:** TIMOTHY J REEVES LNHA (ADMINISTRATOR)
- **Authorized official phone:** (814) 341-5839

## Contact information

- **Practice address:** 188 HOSPITAL LN, JELLICO, TN 37762-4400
- **Practice address phone:** (814) 341-5839
- **Mailing address:** 108 CENTRAL AVE E, JAMESTOWN, TN 38556-4106
- **Mailing address phone:** (931) 787-0787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2026
- **Last updated:** 04/15/2026