Frontier Health, NPI 1386700383
Mental Health Clinic/Center (Including Community Mental Health Center) in Johnson City, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386700383 |
| NPI Entity Type | Organization |
| Provider Name |
Frontier Health
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 109 W Watauga Ave, Johnson City, TN, US |
| Provider Mailing Address | Po Box 9054, Gray, TN, US, 376159054 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. PHD Teresa M Kidd |
| Official Position | PRESIDENT AND CEO |
| Phone | 423-467-3600 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center) |
| Classification | |
| Group | |
| License No. | L 214-076-1430 |
| License State | TN |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| L 214-076-1430 | TN | No | |||
| L 214-076-1430 | TN | No | |||
| 325 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 49-4911-1 | VA | MEDICAID | 05 |
| SAME AS MEDICARE #S | TN | MEDICAID | 05 |
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