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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
1273R00000XPsychiatric Hospital Unit

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2453212000OTHERTNMAGELLAN PPO & HMO VY
3000312969AOTHERCENPATICO BEHAVIOR HEALTH
41000526OTHERTNBLUE CROSS
5347772OTHERGAWELLCARE
6458212000OTHERTNTNCARE PREMIER/TBH

General Provider Information

NPI Number : 1558319863
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKRIDGE MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 2200 MORRIS HILL RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2818
Country : US
Telephone Number : 423-894-4220
Fax Number : 423-499-1201
Provider Business Practice Location Address
First Line : 2200 MORRIS HILL RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2818
Country : US
Telephone Number : 423-894-4220
Fax Number : 423-499-1201
Authorized Official
Title or Position : CFO
Name : PAUL FRIDENSTINE
Credential :
Telephone Number : 615-344-9551
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/01/2025

Similar Medicare Providers

1083755987 — PARKRIDGE MEDICAL CENTER, INC.
Practice Location Address:
2200 MORRIS HILL RD
CHATTANOOGA, TN
37421-2818
Practice Phone: 423-499-2384
Practice Fax:
1720172687 — MICHAEL FREDERICK OSBORNE M.D.
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1306050349 — MR. HENRY MATT CALLIHAN III LADAC
Practice Location Address:
2200 MORRIS HILL RD
CHATTANOOGA, TN
37421-2818
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1467669986 — MR. HOWARD LELAND LUSK JR. NCACI, LADAC
Practice Location Address:
2200 MORRIS HILL RD
CHATTANOOGA, TN
37421-2818
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1396106050 — AMANDA JOANNE SCHMALENBERGER LPC-MHSP
Practice Location Address:
2200 MORRIS HILL RD
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37421-2818
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Practice Fax:
1346861986 — DEREK WILLIAM ARMITAGE RN
Practice Location Address:
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37421-2818
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Practice Fax:

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