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188 Hospital Ln Ste 100 Jellico TN 37762-4400 | |
| (423) 933-1355 | |
| (423) 933-1348 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 188 Hospital Ln Ste 100, Jellico, Tennessee |
| Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
| Authorized Official Contact | 2192284355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | 188 Hospital Ln Ste 100 Jellico TN 37762-4400 Ph: (423) 933-1355 |
| NPI Number | 1790563781 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790563781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hcc Of Jellico Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7252 | |
Charles H. Wilkens, M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7269 |