PARKRIDGE MEDICAL CENTER, INC. (NPI# 1689614521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689614521 |
Entity Type | Organization |
Organization Name | PARKRIDGE MEDICAL CENTER, INC. |
Other Organization Name | PARKRIDGE MEDICAL CENTER |
Practice Address |
2333 Mccallie Ave Chattanooga TN 37404-3258 |
Practice Telephone | 4236986061 |
Practice Fax Number | 4234931208 |
Mailing Telephone | 4236986061 |
Mailing Fax Number | 4234931208 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-09-22 |
Authorized Official Name | JAY ST. PIERRE (CFO) |
Authorized Official Telephone | 4234931293 |
Is Organization Subpart | Y |
Parent Organization Name | PARKRIDGE MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 044T156 | 05 |
Other Name | Type Code |
---|---|
PARKRIDGE MEDICAL CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
1871731505 | Parkridge Medical Center, Inc. | Skilled Nursing Facility | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2009-02-03 |
1194991232 | Parkridge Medical Center, Inc. | Psychiatric Unit | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2008-05-07 |
1083755987 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2007-02-12 |
1831139773 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-06-08 |
1659321198 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-05-12 |
1679523385 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-05-11 |
1104874684 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-05-05 |
Street Address |
2333 MCCALLIE AVE |
City | CHATTANOOGA |
State | TN |
Zip Code | 37404-3258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922095751 | Theodore A Feintuch | Pathology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2005-10-06 |
1275162117 | Brittany Ambers | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2020-04-03 |
1841795804 | Katie Campos | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-03-29 |
1285132100 | Matt Crane | Anesthesiology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-01-25 |
1740706811 | Ashley Nind Wright | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-08-20 |
1306370085 | Kelly Neufeld | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-04-19 |
1982140117 | Paul Habegger | Nurse Anesthetist, Certified Registered | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-01-11 |
1154777563 | Lindsay Crowe | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-05-05 |
1255794053 | Jamie Scott | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-03-30 |
1588078034 | Shirley Lizcano Sharp | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
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Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
1629675319 | Premier Physical Therapy Consulting | Rehabilitation Unit | 751b Lynwood Ave, Nashville, TN 37203-5029 | 2020-10-06 |
1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
1720642523 | Vanderbilt University Medical Center | Rehabilitation Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
1598296691 | Memphis Va Medical Center | Rehabilitation Unit | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-03-21 |
1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
1336520840 | Saint Thomas Stones River Hospital, LLC | Rehabilitation Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
1093124521 | Rchp Montana LLC | Rehabilitation Unit | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-08 |
1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
1457640922 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 391 Wallace Rd, Nashville, TN 37211-4851 | 2011-04-05 |
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City | CHATTANOOGA |
Zip Code | 37404 |
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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.