Jellico Regional Hospital, LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

JELLICO REGIONAL HOSPITAL, LLC

Practice address

188 Hospital LN
Jellico, TN 37762-4400

Phone

(423) 784-7252

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kirnjot Singh, MD

Title

President

Phone

(219) 228-4355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1801463328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL STE 100C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077762",
            "telephone_number": "219-228-1021"
        },
        {
            "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 REGIONAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-228-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jellico Medical Center, Inc.
• Jellico Regional Hospital, LLC
• Jellico Regional Hospital, LLC
• Jellico Regional Hospital, LLC
• Jellico Regional Hospital, LLC
• Jellico Regional Hospital, LLC
• Jellico Regional Hospital, LLC
• Jellico Surgery Center, LLC
• Jellico TN Opco LLC
• Jellico Wellness and Convenient Care Clinic, LLC

• Critical Access Hospital in Jellico, TN
• Providers in Jellico, TN by specialty
• Critical Access Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.