Healthcare Provider Details

I. General information

NPI: 1689614521
Provider Name (Legal Business Name): PARKRIDGE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MCCALLIE AVE
CHATTANOOGA TN
37404-3258
US

IV. Provider business mailing address

2333 MCCALLIE AVE
CHATTANOOGA TN
37404-3258
US

V. Phone/Fax

Practice location:
  • Phone: 423-698-6061
  • Fax: 423-493-1208
Mailing address:
  • Phone: 423-698-6061
  • Fax: 423-493-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JAY ST. PIERRE
Title or Position: CFO
Credential:
Phone: 423-493-1293