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NPI Code Detail

MEDICARE: PARKRIDGE MEDICAL CENTER, INC.

MEDICARE: PARKRIDGE MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1376478859
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKRIDGE MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 1855 EXECUTIVE PARK NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-2715
Country : US
Telephone Number : 423-472-1999
Fax Number :
Provider Business Practice Location Address
First Line : 1855 EXECUTIVE PARK NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-2715
Country : US
Telephone Number : 423-472-1999
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHRISTOPHER COSBY
Credential :
Telephone Number : 423-472-1999
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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