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Jellico Community Hospital Inc.

Medicare Defined Swing Bed Hospital Unit in Jellico, TN · enumerated 2006 · authorized official Evelyn Ghulam, Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699794578

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Registry record

Entity type Organization (Type 2)
Legal business name Jellico Community Hospital Inc.
Other name <Unavail>
Practice address 188 Hospital Lane, Jellico, TN, 37762
Fax (423) 784-1136
Enumeration date Jul 19, 2006
Last updated in NPPES Jun 7, 2016

Taxonomy & classification

275N00000X Medicare Defined Swing Bed Hospital Unit Hospital Units · License 0000000007 (TN) Primary

Authorized official

Name Evelyn Ghulam
Title Controller

Other identifiers

Identifier Type State Issuer
01620848 Medicaid KY -
1000250 Other TN BLUE CROSS BLUE SHIELD
1530476 Other TN UNITED MINE WORKERS
A3776201 Other TN JOHN DEERE COMMERCIAL
0440180 Medicaid TN -
1000250 Other TN TC AMBULANCE
6530360 Other TN AETNA
A3776201 Other TN TC AMBULANCE
397905000 Other TN FEDERAL BLACK LUNG
440180 Other TN MEDICARE MANAGED CARE
440180 Other TN TC AMBULANCE
54976 Other TN ANTHEM BLUE CROSS
55620496 Other TN UNISYS AMBULANCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Jellico Community Hospital Inc. located?
The practice location on file with NPPES is in Jellico, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-07.