Jellico Community Hospital Inc., NPI 1699794578
Medicare Defined Swing Bed Hospital Unit in Jellico, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1699794578 |
| NPI Entity Type | Organization |
| Provider Name |
Jellico Community Hospital Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 188 Hospital Lane, Jellico, TN, US |
| Provider Mailing Address | Po Box 844869, Dallas, TX, US, 752844869 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Evelyn Ghulam |
| Official Position | CONTROLLER |
| Phone | 423-784-1334 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Medicare Defined Swing Bed Hospital Unit |
| Classification | |
| Group | |
| License No. | 0000000007 |
| License State | TN |
| Description | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 01620848 | KY | MEDICAID | 05 |
| 1000250 | TN | BLUE CROSS BLUE SHIELD | 01 |
| 1530476 | TN | UNITED MINE WORKERS | 01 |
| A3776201 | TN | JOHN DEERE COMMERCIAL | 01 |
| 0440180 | TN | MEDICAID | 05 |
| 1000250 | TN | TC AMBULANCE | 01 |
| 6530360 | TN | AETNA | 01 |
| A3776201 | TN | TC AMBULANCE | 01 |
| 397905000 | TN | FEDERAL BLACK LUNG | 01 |
| 440180 | TN | MEDICARE MANAGED CARE | 01 |
| 440180 | TN | TC AMBULANCE | 01 |
| 54976 | TN | ANTHEM BLUE CROSS | 01 |
| 55620496 | TN | UNISYS AMBULANCE | 01 |
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MD Douglas Todd Cannon Individual |
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Dovamed Medical Organization |
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MRS. PA-C Brittany C Smith Individual |
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