Healthcare Provider Details

I. General information

NPI: 1679523385
Provider Name (Legal Business Name): PARKRIDGE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SPRING CREEK RD
CHATTANOOGA TN
37412-3909
US

IV. Provider business mailing address

3055 LEBANON PIKE BLDG 3 STE 1000
NASHVILLE TN
37214-2230
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 Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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