Frontier Health
Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Duffield, VA
NPI 1194886788 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1194886788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- License
- 315-03-001 (VA)
- Legal business name
- FRONTIER HEALTH
- Practice address
- 1100 US Highway 58
Duffield, VA 24244 - Phone
- (276) 431-4370
- Fax
- (276) 431-2863
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Teresa M Kidd, PHD
- Title
- President and Ceo
- Phone
- (423) 467-3600
Corporate family (same tax ID) 16
Practitioners 2
-
Saborah Lee Salvatore, LICENSED PROFESSIONA
National Provider Directory
- Tax ID family
- Lee County Integrated Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 315-16-001 | VA | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 315-07-004 | VA | |
| Child Mental Illness Respite Care | 385HR2055X | 315-03-001 | VA | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 315-03-001 | VA | Yes |
Addresses
Primary practice location
1100 US Highway 58
Duffield, VA 24244
Mailing address
PO Box 9054
Gray, TN 37615-9054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49-4129-2 | Medicaid | VA |
Other names
- Addington Hall
Other providers in Duffield, VA
- Family Preservation Services, Inc
- Family Presrevation Services, Inc
- Gail R Feagins
- Olimpo Fernando Fonseca
- Pauline Fraley
- Frontier Health
- Frontier Health
- Frontier Health
- Dewayne Steven Garrett
- Harvest Freewill Baptist Child Care Ministries, Inc.
All providers in Duffield, VA · Child Intellectual and/or Developmental Disabilities Respite Care in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.