PARKWEST MEDICAL CENTER (NPI# 1427132786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427132786 |
| Entity Type | Organization |
| Organization Name | PARKWEST MEDICAL CENTER |
| Other Organization Name | PENINSULA VILLAGE A DIVISION OF PARKWEST MEDICAL CENTER |
| Practice Address |
2341 Jones Bend Rd Louisville TN 37777 |
| Mailing Address |
Po Box 1999 Louisville TN 37777 |
| Practice Telephone | 8659709800 |
| Practice Fax Number | 8653801461 |
| Mailing Telephone | 8659701295 |
| Mailing Fax Number | 8653801461 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN T GEPPI (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Telephone | 8653746872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | L2370761471 | TN | Residential Treatment Facilities |
| X | 324500000X | Substance Abuse Rehabilitation Facility | L2370761471 | TN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440173 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Village A Division of Parkwest Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366785867 | Parkwest Medical Center | Pharmacy | 220 Fort Sanders West Blvd Ste 104, Knoxville, TN 37922-3373 | 2013-04-03 |
| 1801878830 | Parkwest Medical Center | Clinic/Center | 520 Cook St, Madisonville, TN 37354-1508 | 2005-11-16 |
| 1154303162 | Parkwest Medical Center | Clinic/Center | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2005-11-16 |
| 1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
| 1508848516 | Parkwest Medical Center | Clinic/Center | 124 N Henderson Ave, Sevierville, TN 37862 | 2005-11-16 |
| 1922080936 | Parkwest Medical Center | Clinic/Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2005-11-16 |
| 1396739165 | Parkwest Medical Center | Clinic/Center | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2005-09-07 |
| 1851369243 | Parkwest Medical Center | Psychiatric Unit | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2006-03-10 |
| 1699757609 | Parkwest Medical Center | Clinic/Center | 210 Simmons St, Maryville, TN 37801-4750 | 2005-11-16 |
| Street Address |
2341 JONES BEND RD |
| City | LOUISVILLE |
| State | TN |
| Zip Code | 37777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225405475 | Blount County Snf Operations, LLC | Skilled Nursing Facility | 1965 Stewart Lane, Louisville, TN 37777 | 2015-08-24 |
| 1932533643 | Mary Martin Cadieux | Obstetrics & Gynecology | 3824 Compass Pointe Dr, Louisville, TN 37777 | 2013-08-29 |
| 1386960102 | Toni Danielle Pickle | Social Worker | 2431 Jones Bend Rd., Louisville, TN 37777 | 2010-04-19 |
| 1255666590 | Dale William Willetts | Specialist/Technologist, Other | 3733 Riverbrook Dr, Louisville, TN 37777 | 2009-10-05 |
| 1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
| 1538364716 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1921 Topside Road, Louisville, TN 37777 | 2007-06-18 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1811960834 | Barrington N Nash | Family Medicine | 1921 Topside Rd, Ste 200, Louisville, TN 37777 | 2006-02-09 |
| 1871580027 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1705 Base Pointe Way, Louisville, TN 37777 | 2005-10-03 |
| 1679080378 | Hayley Schneider Bush | Case Manager/Care Coordinator | 3845 Holston College Rd, Louisville, TN 37777 | 2018-01-03 |
| Find all providers in zip 37777 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851435705 | Bellewood Presbyterian Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 11103 Park Rd, Louisville, KY 40223-2424 | 2007-02-16 |
| 1912089863 | Home of The Innocents | Residential Treatment Facility, Emotionally Disturbed Children | 1100 E. Market St., Louisville, KY 40206 | 2006-10-19 |
| 1588801203 | Maryhurst, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1043663495 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 8550 Harold Duncan Way, Knoxville, TN 37931 | 2016-07-21 |
| 1447536875 | Children's Bureau Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 868 N Manassas St, Memphis, TN 38107-2516 | 2011-10-31 |
| 1588973309 | Lamont Ingram Developmental Organization | Residential Treatment Facility, Emotionally Disturbed Children | 437 Riverside Dr, Jackson, TN 38301-5720 | 2010-09-28 |
| 1073820130 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 804 Branham Hughes Circle, Springhill, TN 37174-2623 | 2010-09-09 |
| 1629307046 | Arthur Lee Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 5425 Meadowick Ave, Memphis, TN 38115-3643 | 2009-12-14 |
| 1861687899 | The Agency for Youth and Family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1071 Mullins Station Rd, Memphis, TN 38134-7723 | 2007-09-12 |
| 1164417465 | Cassandra Woodruff Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 605 Hemphill Cir, Chattanooga, TN 37411-2912 | 2005-09-13 |
| 1558916213 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-08-08 |
| 1922651348 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2890 Bekemeyer Dr, Arlington, TN 38002-9522 | 2019-07-24 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 37777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.