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General NPI Number Information
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NPI Number | 1801878830
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Entity Type | Organization
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Legal Business Name | PARKWEST MEDICAL CENTER
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 520 COOK ST
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City | MADISONVILLE
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State | TN
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Zip | 37354-1508
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Country | US
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Telephone | 865-970-9800
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Fax | 865-380-1461
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Provider Business Mailing Address
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Address Line | PO BOX 1999
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City | LOUISVILLE
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State | TN
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Zip | 37777-1999
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Country | US
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Telephone | 865-970-1295
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Fax | 865-380-1461
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT CFO
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Name | MR. JOHN T GEPPI
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Credential |
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Telephone | 865-374-6872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | L 214-076-1469
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | L 214-076-1469
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License Number State | TN
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