PARKWEST MEDICAL CENTER (NPI# 1699757609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699757609 |
Entity Type | Organization |
Organization Name | PARKWEST MEDICAL CENTER |
Other Organization Name | PENINSULA OUTPATIENT CENTER |
Practice Address |
210 Simmons St Maryville TN 37801-4750 |
Mailing Address |
Po Box 1999 Louisville TN 37777-1999 |
Practice Telephone | 8659709800 |
Practice Fax Number | 8653801461 |
Mailing Telephone | 8659701295 |
Mailing Fax Number | 8653801461 |
Enumeration Date | 2005-11-16 |
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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
TN | Ambulatory Health Care Facilities | |
X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0440173 | 05 |
Other Name | Type Code |
---|---|
Peninsula Outpatient 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 |
1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
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 |
Street Address |
210 SIMMONS ST |
City | MARYVILLE |
State | TN |
Zip Code | 37801-4750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316945504 | Kevin Scott Corum | Social Worker | 210 Simmons St, Maryville, TN 37801-4750 | 2005-07-12 |
1619500592 | Tyann Elizabeth Herman | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2020-02-19 |
1336615699 | Mandee Lynn Carroll | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-10-15 |
1568943199 | Justinas Joksas | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-08-22 |
1447751854 | Holly Williams | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-02-22 |
1023548971 | James Robert Daniel | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2017-06-14 |
1063881514 | Gladys Farmer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-09-15 |
1558759910 | Hollie Wilder | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-01-07 |
1386085116 | Marcey Ramos | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
1700227535 | Tracy Kizer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
Find all providers in zip 37801 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801821434 | Blount Memorial Hospital, Inc. | Clinic/Center | 451 Bmh Physician Office Bldg, Maryville, TN 37804-5807 | 2006-07-12 |
1427670819 | Christina Kittstein LLC | Clinic/Center | 6209 E Main St, Maryville, IL 62062-2015 | 2020-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679195036 | Mckenzie Medical Center PC | Clinic/Center | 205 Hospital Dr Ste C, Mc Kenzie, TN 38201-1649 | 2020-05-08 |
1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
1942832506 | Arrow of Hope Counseling Center, Pllc | Clinic/Center | 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 | 2020-02-11 |
1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
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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.