| Parkridge Medical Center | |
|
2333 Mccallie Ave Chattanooga TN 37404-3258 | |
| (423) 698-6061 | |
| (423) 493-1208 |
| Full Name | Parkridge Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2333 Mccallie Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jay St. Pierre (CFO) |
| Authorized Official Contact | 4234931293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkridge Medical Center 2333 Mccallie Ave Chattanooga TN 37404-3258 Ph: (423) 698-6061 | Parkridge Medical Center 2333 Mccallie Ave Chattanooga TN 37404-3258 Ph: (423) 698-6061 |
| NPI Number | 1831139773 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 09/22/2015 |
| Medicare PECOS PAC ID | 0547161507 |
|---|---|
| Medicare Enrollment ID | O20070126000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831139773 | NPI | - | NPPES |
| 134385000 | Other | TN | MAGELLAN PPO & HMO |
| 016408012 | Other | TN | TNCARE PREMIER/TBH |
| 044S156 | Medicaid | TN | |
| 0105827 | Other | TN | MAGELLAN BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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