Jellico Community Hospital, Inc
Jellico Community Hospital, Inc is a Multi-Specialty Clinic/Center in Willaimsburg, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.
- Licensed in
- KY
- In the registry since
- 2011
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
998 S Highway 25WWillaimsburg, KY 40769
Phone: (606) 549-1183
Fax: (606) 549-8107
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA071 (KY) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 3007739 (KY) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 3004431 (KY) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 3002560 (KY) |
Record details
| NPI number | 1407154800 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evelyn Ghulam — Controller · (423) 784-1334 |
| Other names | Care Plus Center |
| NPI enumerated | March 9, 2011 |
| Last updated in NPPES | March 10, 2016 |
| Mailing address | 188 Hospital Lane, Jellico, TN 37762-4433 |