Jellico Community Hospital, Inc
NPI 1407154800 · Multi-Specialty Clinic/Center · Willaimsburg, KY
Jellico Community Hospital, Inc is a Multi-Specialty Clinic/Center organization in Willaimsburg, KY (NPI 1407154800).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Care Plus Center
Registry dates
- Enumerated
- 2011-03-09
- Last updated
- 2016-03-10
Frequently asked questions
- What is Jellico Community Hospital, Inc's NPI number?
- Jellico Community Hospital, Inc's National Provider Identifier (NPI) is 1407154800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jellico Community Hospital, Inc?
- Jellico Community Hospital, Inc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jellico Community Hospital, Inc located?
- Jellico Community Hospital, Inc's practice location on file with NPPES is 998 South Highway 25w, Willaimsburg, KY 40769.
- What is Jellico Community Hospital, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jellico Community Hospital, Inc is (606) 549-1183.
- Who is the authorized official for Jellico Community Hospital, Inc?
- The authorized official listed on Jellico Community Hospital, Inc's NPPES record is Evelyn Ghulam, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jellico Community Hospital, Inc's NPI active?
- Yes — Jellico Community Hospital, Inc's NPI (1407154800) is active in the NPPES registry as of the last update on 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.