Parkwest Medical Center

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Lenoir City, TN

NPI 1922080936 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1922080936
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
License
L 214-076-1468 (TN)
Legal business name
PARKWEST MEDICAL CENTER
Practice address
423 Medical Park Dr
Lenoir City, TN 37772-5640
Phone
(865) 970-9800
Fax
(865) 380-1461
NPI assigned
Nov 16, 2005
Organization subpart
No

Authorized official

Name
Mr. John T Geppi
Title
Executive Vice President Cfo
Phone
(865) 374-6872

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Ft Sanders Parkwest Hos (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X L 214-076-1468 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X L 214-076-1468 TN Yes

Addresses

Primary practice location

423 Medical Park Dr
Lenoir City, TN 37772-5640

Mailing address

PO Box 1999
Louisville, TN 37777-1999
Phone (865) 970-1295

Other identifiers

IdentifierTypeStateIssuer
0440173MedicaidTN

Other names

  • Peninsula Outpatient Center Doing business as

Other providers in Lenoir City, TN

All providers in Lenoir City, TN · Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.