PARKRIDGE MEDICAL CENTER, INC.


Address: 2333 Mccallie Ave, Chattanooga, TN 37404-3258
Phone: 4236986061

PARKRIDGE MEDICAL CENTER, INC. (NPI# 1689614521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689614521
Entity Type Organization
Organization Name PARKRIDGE MEDICAL CENTER, INC.
Other Organization Name PARKRIDGE MEDICAL CENTER
Practice Address 2333 Mccallie Ave
Chattanooga
TN 37404-3258
Practice Telephone 4236986061
Practice Fax Number 4234931208
Mailing Telephone 4236986061
Mailing Fax Number 4234931208
Enumeration Date 2006-06-08
Last Update Date 2015-09-22
Authorized Official Name JAY ST. PIERRE (CFO)
Authorized Official Telephone 4234931293
Is Organization Subpart Y
Parent Organization Name PARKRIDGE MEDICAL CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273Y00000X Rehabilitation Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
TN 044T156 05

Other Provider/Organization Names

Other Name Type Code
PARKRIDGE MEDICAL CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558319863 Parkridge Medical Center, Inc. Psychiatric Unit 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 2006-05-05
1871731505 Parkridge Medical Center, Inc. Skilled Nursing Facility 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2009-02-03
1194991232 Parkridge Medical Center, Inc. Psychiatric Unit 941 Spring Creek Rd, Chattanooga, TN 37412-3909 2008-05-07
1083755987 Parkridge Medical Center, Inc. Psychiatric Unit 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 2007-02-12
1831139773 Parkridge Medical Center, Inc. Psychiatric Unit 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2006-06-08
1659321198 Parkridge Medical Center, Inc. General Acute Care Hospital 941 Spring Creek Rd, Chattanooga, TN 37412-3909 2006-05-12
1679523385 Parkridge Medical Center, Inc. General Acute Care Hospital 941 Spring Creek Rd, Chattanooga, TN 37412-3909 2006-05-11
1104874684 Parkridge Medical Center, Inc. General Acute Care Hospital 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2006-05-05

Office Location

Street Address 2333 MCCALLIE AVE
City CHATTANOOGA
State TN
Zip Code 37404-3258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922095751 Theodore A Feintuch Pathology 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2005-10-06
1275162117 Brittany Ambers Registered Nurse 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2020-04-03
1841795804 Katie Campos Registered Nurse 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2018-03-29
1285132100 Matt Crane Anesthesiology 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2018-01-25
1740706811 Ashley Nind Wright Nurse Practitioner 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2017-08-20
1306370085 Kelly Neufeld Nurse Practitioner 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2017-04-19
1982140117 Paul Habegger Nurse Anesthetist, Certified Registered 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2017-01-11
1154777563 Lindsay Crowe Registered Nurse 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2016-05-05
1255794053 Jamie Scott Emergency Medicine 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2016-03-30
1588078034 Shirley Lizcano Sharp Emergency Medicine 2333 Mccallie Ave, Chattanooga, TN 37404-3258 2014-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306494216 Cynthia Caffey Technician 1305 E. 28th St. Apt A, Chatta, TN 37404 2019-09-04
1851944482 Stacey Stokes Peer Specialist 1413 Bailey Ave, Chattanooga, TN 37404 2019-07-23
1306354790 Erlanger Behavioral Health, LLC Psychiatric Hospital 804 North Holtzclaw Avenue, Chattanooga, TN 37404 2018-01-19
1245746171 Davis Supportive Living Home Inc. Custodial Care Facility 1106 Duncan Avenue, Chattanooga, TN 37404 2017-12-14
1124544762 Rachael Anne Maciver Nurse Practitioner 1909 South Willow Street, Chattanooga, TN 37404 2017-08-15
1447796214 Esli Castillo Nurse Practitioner 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 2017-01-17
1922542158 Natasha Elliott Community Health Worker 2804 Cannon Ave, Chattanooga, TN 37404 2016-12-07
1730630153 Jonathan Easter Taxi 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 2016-10-20
1477946143 Thomas Jereme Holcomb Nurse Practitioner 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 2015-03-05
1922426709 Sarah Mccary Baker Internal Medicine 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 2014-03-31
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Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Notes: Source: Code of Federal Regulations #42, Section 412.29.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225029390 Jackson Madison County General Hospital Rehabilitation Unit 620 Skyline Drive, Jackson, TN 38301-3901 2005-10-28
1629675319 Premier Physical Therapy Consulting Rehabilitation Unit 751b Lynwood Ave, Nashville, TN 37203-5029 2020-10-06
1043824279 Methodist Healthcare East Hospital Rehabilitation Unit 5959 Park Ave, Memphis, TN 38119-5200 2020-09-04
1720642523 Vanderbilt University Medical Center Rehabilitation Unit 500 Park Ave, Lebanon, TN 37087-3721 2019-04-26
1598296691 Memphis Va Medical Center Rehabilitation Unit 1030 Jefferson Ave, Memphis, TN 38104-2127 2017-03-21
1710368220 Saint Thomas River Park Hospital, LLC Rehabilitation Unit 1559 Sparta St, Mcminnville, TN 37110-1316 2015-06-11
1336520840 Saint Thomas Stones River Hospital, LLC Rehabilitation Unit 324 Doolittle Rd, Woodbury, TN 37190-1139 2015-06-11
1093124521 Rchp Montana LLC Rehabilitation Unit 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 2014-08-08
1316379738 Hca Health Services of Tennessee, Inc. Rehabilitation Unit 5655 Frist Blvd, Hermitage, TN 37076-2053 2013-08-08
1457640922 Hca Health Services of Tennessee, Inc. Rehabilitation Unit 391 Wallace Rd, Nashville, TN 37211-4851 2011-04-05
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Competitor

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City CHATTANOOGA
Zip Code 37404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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