Organization
PARKWEST MEDICAL CENTER
Active
Other names
Peninsula Outpatient 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
210 SIMMONS ST, MARYVILLE, TN 37801-4750
(865) 970-9800
(865) 380-1461
Mailing address
PO BOX 1999, LOUISVILLE, TN 37777-1999
(865) 970-1295
(865) 380-1461
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440173
—
TN
Enumeration date
11/16/2005
Last updated
09/11/2025
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