PARKRIDGE MEDICAL CENTER, INC. (NPI# 1831139773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831139773 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MAGELLAN BLUE CROSS | 0105827 | 01 |
| TN | 044S156 | 05 | |
| TN | MAGELLAN PPO & HMO | 134385000 | 01 |
| TN | TNCARE PREMIER/TBH | 016408012 | 01 |
| Other Name | Type Code |
|---|---|
| PARKRIDGE MEDICAL CENTER | Doing Business As Name - Organization |
| 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 |
| 1689614521 | Parkridge Medical Center, Inc. | Rehabilitation 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 |
| Street Address |
2333 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3258 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
| 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 |
| 1548366719 | Chattanooga Hamilton County Hospital Authority | Psychiatric Unit | 632 Morrison Springs Rd, Chattanooga, TN 37415 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1588212732 | Rural Hospitals and Clinics of America, Inc | Psychiatric Unit | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-30 |
| 1477117273 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| 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.