North Campbell Community Hospital Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

NORTH CAMPBELL COMMUNITY HOSPITAL INC

Practice address

188 Hospital LN
Jellico, TN 37762-4400

Phone

(731) 968-3646

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Henson

Title

RCD, Authorized Offical

Phone

(336) 944-6420

Specialties & licenses 1

Addresses

Tax ID family

North Campbell Community Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Campbell Community Hospital Inc

  • Critical Access Hospital
  • Jellico, TN
  • NPI 1386551760
  NPD tax ID

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1730096116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038"
        },
        {
            "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": "731-968-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAMPBELL COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "RCD, AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "336-944-6420"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Mason, LPC-MHSP
• Maximum Potential Physical Therapy, PLLC
• Memorial Hospital, Inc. (Sunbelt Homecare)
• Natalie Sue Nantz, PHARMD
• North Campbell Community Hospital Inc
• Pine Mountain Emergency Physicians
• Progressive Health of Jellico LLC
• Progressive Health of Jellico LLC
• Kenneth J Reed, P.A.C.
• Sarah Roberts, PHARMD

• Medicare Defined Swing Bed Hospital Unit in Jellico, TN
• Providers in Jellico, TN by specialty
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.