Peninsula Lighthouse Peninsula Outpatient Center
LBN: Parkwest Medical Center
Peninsula Lighthouse Peninsula Outpatient Center is an health care organization with primary practice located at 6800 Baum Dr , Knoxville TN 37919-7315. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Parkwest Medical Center can be contacted via phone (865) 970-9800, or through Geppi, John T via phone (865) 374-6872.
Contact Information
Primary practice address
6800 Baum Dr
Knoxville TN 37919-7315
Phone: (865) 970-9800
Fax: (865) 380-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | L 2(14)M5-076-1466 | Tennessee |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | L 2(14)M5-076-1466 | Tennessee |
Profile Details
| NPI number | 1154303162 |
|---|---|
| LBN Legal business name | Parkwest Medical Center |
| DBA Doing business as | Peninsula Lighthouse Peninsula Outpatient Center |
| Authorized official | Geppi, John T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154303162 | NPPES |
| Tennessee | MEDICAID | 0440173 |
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