NPIMap

Organization Active NPI

Jellico Community Hospital Inc.

Doing business as CarePlus Oneida

  • Rural Health Clinic/Center
  • Oneida, TN
National Provider Identifier
1699296673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JELLICO COMMUNITY HOSPITAL INC.
Doing business as
CarePlus Oneida
Practice address
19268 Alberta St
Oneida, TN 37841-6061
Phone
(423) 569-3792
NPI assigned
Jun 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Evelyn Ghulam
Title
Controller
Phone
(423) 784-1334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

19268 Alberta St
Oneida, TN 37841-6061

Mailing address

19268 Alberta St
Oneida, TN 37841-6061
Phone (423) 569-3792

Other names 1

  • CarePlus Oneida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Plus Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699296673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19268 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416061",
            "telephone_number": "423-569-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19268 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416061",
            "telephone_number": "423-569-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELLICO COMMUNITY HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GHULAM",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "423-784-1334"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePlus Oneida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.