Organization
JELLICO COMMUNITY HOSPITAL INC.
Active
Other names
Jellico Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN GHULAM (CONTROLLER)
(423) 784-1334
Entity
Organization
Contact information
Practice address
188 HOSPITAL LANE, JELLICO, TN 37762-4400
(423) 784-1334
(423) 784-1136
Mailing address
PO BOX 844869, DALLAS, TX 75284-4869
(423) 784-1334
(423) 784-1336
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620848
—
KY
05
—
0440180
—
TN
01
—
1000250
BLUE CROSS BLUE SHIELD
TN
01
—
1530476
UNITED MINE WORKERS
TN
01
—
397905000
FEDERAL BLACK LUNG
TN
01
—
440180
MEDICARE MANAGED CARE
TN
01
—
54976
ANTHEM BLUE CROSS
TN
01
—
55620496
UNISYS AMBULANCE
TN
01
—
6530360
AETNA
TN
01
—
A3776201
JOHN DEERE COMMERCIAL
TN
Enumeration date
07/19/2006
Last updated
06/07/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us