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 LAN, 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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
06/07/2016
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