PARKRIDGE MEDICAL CENTER, INC. (NPI# 1871731505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871731505 |
| 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 | 2009-02-03 |
| 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 | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 1689614521 | Parkridge Medical Center, Inc. | Rehabilitation Unit | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-06-08 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1831120872 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1020 Runyan Dr, Chattanooga, TN 37405-1200 | 2006-07-06 |
| 1851332571 | Op Chattanooga, Inc. | Skilled Nursing Facility | 8249 Standifer Gap Rd, Chattanooga, TN 37421-5046 | 2006-06-10 |
| 1487693842 | Nhc Healthcare-chattanooga LLC | Skilled Nursing Facility | 2700 Parkwood Ave, Chattanooga, TN 37404-1730 | 2006-06-04 |
| 1063958841 | Stratford House, LLC | Skilled Nursing Facility | 8249 Standifer Gap Rd, Chattanooga, TN 37421-5046 | 2017-01-17 |
| 1881723427 | Consulate Management | Skilled Nursing Facility | 8249 Standifer Gap Rd, Chattanooga, TN 37421-5046 | 2007-03-02 |
| 1326135898 | Siskin Hospital for Physical Rehabilitation | Skilled Nursing Facility | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2006-10-06 |
| 1023026465 | Stratford Facility Operations, LLC | Skilled Nursing Facility | 8249 Standifer Gap Rd, Chattanooga, TN 37421-5046 | 2006-08-03 |
| 1477598340 | Chattanooga Medical Investors, Limited Partnership | Skilled Nursing Facility | 455 N Highland Park Ave, Chattanooga, TN 37404-2016 | 2006-06-17 |
| 1871534875 | Siskin Hospital for Physical Rehabilitation, Inc. | Skilled Nursing Facility | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2006-06-09 |
| Find all providers in CHATTANOOGA | ||||
| 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.