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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) 784-7252
Mailing address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(219) 228-1021

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
06/04/2021
Last updated
10/26/2023
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