NPIMap

Organization Active NPI

Jellico Medical Center, Inc.

  • General Acute Care Hospital
  • Jellico, TN
National Provider Identifier
1083171664
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
JELLICO MEDICAL CENTER, INC.
Practice address
188 Hospital LN
Jellico, TN 37762-4400
Phone
(423) 784-7252
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hal West Leftwich, DBA, FACHE
Title
Ceo
Phone
(423) 784-7252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

188 Hospital LN
Jellico, TN 37762-4400

Mailing address

188 Hospital LN
Jellico, TN 37762-4400
Phone (423) 784-7252

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1083171664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL LN",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624400",
            "telephone_number": "423-784-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL LN",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624400",
            "telephone_number": "423-784-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELLICO MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "LEFTWICH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-784-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA, FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.