NPIMap

Organization Active NPI

Parkridge Medical Center, Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
National Provider Identifier
1679523385
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PARKRIDGE MEDICAL CENTER, INC.
Practice address
941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone
(423) 894-7870
Fax
(423) 855-3648
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Porada
Title
Cfo
Phone
(423) 855-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

941 Spring Creek Rd
Chattanooga, TN 37412-3909

Mailing address

3055 Lebanon Pike
BLDG 3 Ste 1000
Nashville, TN 37214-2230
Phone (423) 894-7870

Other identifiers 1

IdentifierTypeStateIssuer
11207AMedicaidSC

Other names 1

  • PARKRIDGE EAST HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PARKRIDGEEAST.COCEI.TNB@CCDA.HCADIRECT.NET

National Provider Directory

National Provider Directory
Tax ID family
Parkridge Medical Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3055 Lebanon Pike
Ste 1000
Nashville, TN 37214
Phone (842) 628-2552

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1679523385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 LEBANON PIKE",
            "address_2": "BLDG 3 STE 1000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142230",
            "telephone_number": "423-894-7870",
            "fax_number": "423-855-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123909",
            "telephone_number": "423-894-7870",
            "fax_number": "423-855-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "PORADA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-855-3500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11207A",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PARKRIDGEEAST.COCEI.TNB@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "941 Spring Creek Rd",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374123909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PARKRIDGE EAST HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARKRIDGE EAST HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.