Organization
PARKWEST MEDICAL CENTER
Active
Other names
Peninsula Village A Division of Parkwest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T GEPPI (EXECUTIVE VICE PRESIDENT CFO)
(865) 374-6872
Entity
Organization
Contact information
Practice address
2341 JONES BEND RD, LOUISVILLE, TN 37777
(865) 970-9800
(865) 380-1461
Mailing address
PO BOX 1999, LOUISVILLE, TN 37777
(865) 970-1295
(865) 380-1461
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
L2370761471
TN
324500000X
Substance Abuse Rehabilitation Facility
Primary
L2370761471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440173
—
TN
Enumeration date
10/24/2006
Last updated
09/11/2025
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