Organization
JELLICO MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAL WEST LEFTWICH DBA, FACHE (CEO)
(423) 784-7252
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-7252
Mailing address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-7252
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
10/19/2020
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