Healthcare Provider Details

I. General information

NPI: 1194991232
Provider Name (Legal Business Name): PARKRIDGE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SPRING CREEK RD
CHATTANOOGA TN
37412-3909
US

IV. Provider business mailing address

552 METROPLEX DR
NASHVILLE TN
37211-3133
US

V. Phone/Fax

Practice location:
  • Phone: 423-894-7870
  • Fax: 423-855-3648
Mailing address:
  • Phone: 423-894-7870
  • Fax: 423-855-3648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JOHN PORADA
Title or Position: CFO
Credential:
Phone: 423-855-3500