Frontier Health in Johnson City - Adult Mental Health
Frontier Health - NPI 1730245010
Frontier Health is a Adult Mental Health in Johnson City, Tennessee. Frontier Health practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Frontier Health is 1730245010. The last update date is 2018-12-12.
Frontier Health's current location address is 2243 Eddie Williams Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239285627 and fax number 4239284222. The mailing address for Frontier Health is 2243 Eddie Williams Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Frontier Health |
|---|---|
| Address | 2243 Eddie Williams Rd, Johnson City, Tennessee |
| Phone Number | 4239285627 |
| Fax Number | 4239284222 |
| 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 | 1730245010 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | 2243 Eddie Williams Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012872 |
| Phone Number | 4239285627 |
| Fax Number | 4239284222 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | L 229-076-14 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49-4920-0 | VA | -- |
Post Comment/ Review Below
What is the Frontier Health's unique identification number?
The Frontier Health has been assigned the NPI (National Provider Identifier) Number 1730245010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Frontier Health's facilities are situated?
The facilities of Frontier Health are physically located at the following address: 2243 Eddie Williams Rd, Johnson City, TN, 376012872.
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 Adult Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0850X.
On what date did the Frontier Health receive its 1730245010 assignment from the Centers for Medicare & Medicaid Services?
The Frontier Health was assigned its 1730245010 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information pertaining to Frontier Health most recently updated or revised?
The details related to Frontier Health, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-12.
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