Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JELLICO COMMUNITY HOSPITAL, INC
Active OrganizationJELLICO COMMUNITY HOSPITAL, INC is a Multi-Specialty Clinic organization located in WILLAIMSBURG, Kentucky. NPI 1407154800 is currently active in the NPPES registry. Verify at CMS.
Multi-Specialty Clinic · WILLAIMSBURG, KY
Registration Details
- NPI Number
- 1407154800
- Provider Type
- Organization
- NPI Issued
- Mar 9, 2011 (15.464177785683 yrs)
- Last Updated
- Mar 10, 2016
- Licenses
-
3007739 (KY)3004431 (KY)3002560 (KY)PA071 (KY)
Practice Information
- Address
-
998 SOUTH HIGHWAY 25WWILLAIMSBURG, KY, 40769Browse KY providers · Browse ZIP 40769
- Phone
- 6065491183
- Fax
- 6065498107
- Primary Specialty
-
Multi-Specialty Clinic
261QM1300X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Multi-Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.