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Frontier Health

Organization Active NPI Case Management Agency · Weber City, VA

NPI 1194881623 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1194881623
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
315-16-001 (VA)
Legal business name
FRONTIER HEALTH
Practice address
1006 US Highway 23N
Weber City, VA 24290
Phone
(276) 225-0976
Fax
(423) 467-3644
NPI assigned
Dec 29, 2006
Organization subpart
No

Authorized official

Name
Cristi Lynn Blalock, MBA
Title
Director of Contracting/ Compliance
Phone
(423) 467-3741

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lee County Integrated Care (62 organizations share this tax ID)

Locations

1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 315-16-001 VA Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 315-07-004 VA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 315-05-001 VA
Respite Care 385H00000X 315-03-001 VA

Addresses

Primary practice location

1006 US Highway 23N
Weber City, VA 24290

Mailing address

PO Box 9054
1167 Spratlin Park Drive
Gray, TN 37615-9054
Phone (423) 467-3600

Other identifiers

IdentifierTypeStateIssuer
49-4924-2MedicaidVA

Other names

  • Scott County Behavioral Health Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1194881623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "address_2": "1167 SPRATLIN PARK DRIVE",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376159054",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 US HIGHWAY 23N",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-225-0976",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING/ COMPLIANCE",
        "authorized_official_telephone_number": "423-467-3741",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "315-16-001",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "315-07-004",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "315-05-001",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "315-03-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-4924-2",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weber City, VA

All providers in Weber City, VA · Case Management Agency in Virginia

Sources for this page

Verify at the official NPI Registry.