Frontier Health in Gray - Adolescent And Children Mental Health
Frontier Health - NPI 1578627006
Frontier Health is a Adolescent And Children Mental Health in Gray, Tennessee. Frontier Health practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Frontier Health is 1578627006. The last update date is 2018-12-12.
Frontier Health's current location address is Po Box 9054, Gray, Tennessee. You can contact this provider via phone number 4234673600 and fax number 4234673644. The mailing address for Frontier Health is Po Box 9054, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Frontier Health |
|---|---|
| Address | Po Box 9054, Gray, Tennessee |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kidd M Teresa |
| Credentials | PHD |
| Telephone Number | 4234673600 |
NPI Number Detail
| NPI Number | 1578627006 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | Po Box 9054 |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376159054 |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | L 214-076-14 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SAME AS MEDICAR | TN | -- | |
| 49-4923-4 | VA | -- |
Post Comment/ Review Below
What is Frontier Health's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Frontier Health is Adolescent And Children Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0855X.
On what date did Frontier Health receive its 1578627006 assignment from the Centers for Medicare & Medicaid Services?
The Frontier Health was assigned its 1578627006 on 2006-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1578627006 to Frontier Health?
The Centers for Medicare & Medicaid Services assigned the 1578627006 to Frontier Health on 2006-12-20.
When was the information related to Frontier Health most recently updated or refreshed?
The details pertaining to the Frontier Health, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-12.
As of what date was the information regarding Frontier Health, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Frontier Health, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-12.
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