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Jellico Community Hospital, Inc

NPI 1548580046ActiveOrganization· Skilled Nursing Facility· Jellico, TN

Skilled Nursing Facility in Jellico, Tennessee, registered in NPPES in June 2010. The authorized official on file is Evelyn Ghulam, Controller.

Overview

NPI1548580046
StatusActive
Entity typeOrganization
NPI issuedJun 7, 2010
Last updated in NPPESMar 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Jellico

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