Organization
PARKRIDGE MEDICAL CENTER, INC.
Active
Parent organization
PARKRIDGE MEDICAL CENTER
Other names
PARKRIDGE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKRIDGE MEDICAL CENTER
Authorized official
JAY ST. PIERRE (CFO)
(423) 493-1293
Entity
Organization
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
(423) 493-1208
Mailing address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
(423) 493-1208
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105827
MAGELLAN BLUE CROSS
TN
01
—
016408012
TNCARE PREMIER/TBH
TN
05
—
044S156
—
TN
01
—
134385000
MAGELLAN PPO & HMO
TN
Enumeration date
06/08/2006
Last updated
09/22/2015
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