Provider Demographics
NPI:1356394928
Name:PARKWAY MEDICAL CENTER & WALK-IN CLINIC, INC
Entity type:Organization
Organization Name:PARKWAY MEDICAL CENTER & WALK-IN CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-908-0400
Mailing Address - Street 1:435 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-4152
Mailing Address - Country:US
Mailing Address - Phone:865-908-0400
Mailing Address - Fax:865-453-7009
Practice Address - Street 1:435 PARKWAY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-4152
Practice Address - Country:US
Practice Address - Phone:865-908-0400
Practice Address - Fax:865-453-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3719916Medicare ID - Type Unspecified