OrganizationActive
Jellico Community Hospital, Inc
NPI 1407154800 · Multi-Specialty Clinic/Center · Willaimsburg, KY
Provider details
- NPI number
- 1407154800
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Ghulam, Controller(423) 784-1334
- License
- 3007739 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
998 South Highway 25w
Willaimsburg, KY 40769
Phone: (606) 549-1183
Fax: (606) 549-8107
Approximate (ZIP-level) locationGet directions
Mailing address
188 Hospital Lane
Jellico, TN 37762-4433
Other names (DBA / former)
- Doing business as
- Care Plus Center
Registry dates
- Enumerated
- 2011-03-09
- Last updated
- 2016-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.