JELLICO REGIONAL HOSPITAL, LLC – NPI #1124697065
General Acute Care Hospital

JELLICO REGIONAL HOSPITAL, LLC is a general acute care hospital located in JELLICO, TN. NPPES has assigned the NPI number 1124697065 to JELLICO REGIONAL HOSPITAL, LLC on June 24, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on Oct 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JELLICO REGIONAL HOSPITAL, LLC below.

NPI Profile for
JELLICO REGIONAL HOSPITAL, LLC

NPI Number
1124697065
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JELLICO REGIONAL HOSPITAL, LLC
Primary location
188 HOSPITAL LN
JELLICO, TN 37762-4400
Phone: (423) 784-7252 Fax:
Mailing address
10996 FOUR SEASONS PL STE 100C
CROWN POINT, IN 46307-7762
Phone: (219) 228-1021 Fax:
Organization Subpart
No
Authorized Official
KIRNJOT SINGH
PRESIDENT
Phone: (219) 228-4355
Updated
Certification Date
Oct 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.