Healthcare Provider Details

I. General information

NPI: 1396739165
Provider Name (Legal Business Name): PARKWEST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 11/21/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9352 PARKWEST BLVD
KNOXVILLE TN
37923
US

IV. Provider business mailing address

PO BOX 440436
NASHVILLE TN
37244-0436
US

V. Phone/Fax

Practice location:
  • Phone: 865-374-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number42
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000042
License Number StateTN

VIII. Authorized Official

Name: RICK CARRINGER
Title or Position: VP REVENUE CYCLE
Credential: CPA
Phone: 865-374-3090