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Memorial Hospital, Inc.
Home Health Agency in Jellico, Tennessee
NPI 1902839293

Memorial Hospital, Inc. is a Home Health Agency based in Jellico, TN. Memorial Hospital, Inc. practices in Jellico, TN. The NPI Number for Memorial Hospital, Inc. is 1902839293 and holds a License No. 00000000-16 (Tennessee).

The current practice location address for Memorial Hospital, Inc. is 149 Health Care Ln, Jellico, TN and can be reached out via phone at 423-784-2452 and via fax at 423-784-1184.

Location: 149 Health Care Ln, Jellico, TN, 37762-4433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902839293
Provider Name
Memorial Hospital, Inc.
Credential
Provider Entity Type
Organization
Address
149 Health Care Ln, Jellico, TN, 37762-4433
Phone Number
423-784-2452
Fax Number
423-784-1184
Provider Enumeration Date
07/09/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0447492 01 TN JOHN DEERE HEALTH
100020437 01 TN PHP COMPANIES
46166 01 TN BLUE CROSS BLUE SHIELD
0447492 01 TN PACIFICARE MCR
3075983 01 TN BLUECARE
3075983 01 TN TENNCARE SELECT
0447492 01 TN STERLING LIFE MCR
0447492 01 TN JOHN DEERE TENNCARE
087482900 01 TN FEDERAL BLACK LUNG
institution
Provider Business Practice Location Address Details
Address
149 Health Care Ln
City
Jellico
State
Tennessee
Zip
37762-4433
Phone Number
423-784-2452
Fax Number
423-784-1184
person
Provider Business Mailing Address Details
Address
149 Health Care Ln
City
Jellico
State
Tennessee
Zip
37762-4433
Phone Number
423-784-2452
Fax Number
423-784-1184
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
00000000-16 (Tennessee)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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