Organization
JELLICO REGIONAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRNJOT SINGH MD (PRESIDENT)
(219) 228-4355
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 455-0245
(423) 617-0872
Mailing address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(219) 228-1021
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/26/2023
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