| Parkridge Valley Cleveland Outpatient Program, a Department of Parkrid | |
|
1855 Executive Park Nw Cleveland TN 37312-2715 | |
| (423) 472-1999 | |
| Not Available |
| Full Name | Parkridge Valley Cleveland Outpatient Program, a Department of Parkrid |
|---|---|
| Speciality | Clinic/center |
| Location | 1855 Executive Park Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Christopher Cosby (CEO) |
| Authorized Official Contact | 4234721999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkridge Valley Cleveland Outpatient Program, a Department of Parkrid 1855 Executive Park Nw Cleveland TN 37312-2715 Ph: (423) 472-1999 | Parkridge Valley Cleveland Outpatient Program, a Department of Parkrid 1855 Executive Park Nw Cleveland TN 37312-2715 Ph: (423) 472-1999 |
| NPI Number | 1376478859 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376478859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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