Frontier Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

L 219-076-1421 Issued in TN

Legal business name

FRONTIER HEALTH

Doing business as

Laurel House

Practice address

516 Swadley Rd
Johnson City, TN 37601-9000

Phone

(423) 926-9001

Fax

(423) 232-2752

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

FRONTIER HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. E Douglas Varney

Title

President and Ceo

Phone

(423) 467-3600

Specialties & licenses 1

Addresses

Other names 1

• Laurel House Doing business as

Tax ID family

Lee County Integrated Care62 organizations share this tax ID, including this one

Part of

Lee County Integrated Care

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Frontier Health

  dba Hawkins County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogersville, TN
  • NPI 1043374564
  NPD tax ID
• Frontier Health

  dba Hancock County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sneedville, TN
  • NPI 1053475558
  NPD tax ID
• Frontier Health

  dba Magnolia Ridge

  • Substance Abuse Rehabilitation Facility
  • Johnson City, TN
  • NPI 1053476333
  NPD tax ID
• Frontier Health

  dba Fairmount Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bristol, TN
  • NPI 1073735643
  NPD tax ID
• Frontier Health

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1093958944
  NPD tax ID
• Frontier Health

  dba Gibson Place 210

  • Psychiatric Residential Treatment Facility
  • Johnson City, TN
  • NPI 1124463849
  NPD tax ID
• Frontier Health

  dba Fairview Associates of Johnson City

  • Community/Behavioral Health Agency
  • Johnson City, TN
  • NPI 1134282551
  NPD tax ID
• Frontier Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kingsport, TN
  • NPI 1144460817
  NPD tax ID
• Frontier Health

  dba Crisis Triage

  • Community/Behavioral Health Agency
  • Johnson City, TN
  • NPI 1174005276
  NPD tax ID
• Frontier Health

  dba Bristol Regional Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bristol, TN
  • NPI 1235291295
  NPD tax ID
• Frontier Health

  dba Adventure Program

  • Adolescent and Children Mental Health Clinic/Center
  • Johnson City, TN
  • NPI 1235298720
  NPD tax ID
• Frontier Health

  dba Roller Russ Residence for Independent Living

  • Mental Illness Community Based Residential Treatment Facility
  • Kingsport, TN
  • NPI 1265597280
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1265632392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "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": "516 SWADLEY RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376019000",
            "telephone_number": "423-926-9001",
            "fax_number": "423-232-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONTIER HEALTH",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "L 219-076-1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frontier Health
• Frontier Health (Gibson Place 210)
• Frontier Health (Fairview Associates of Johnson City)
• Frontier Health (Crisis Triage)
• Frontier Health (Adventure Program)
• Frontier Health (Watauga Behavioral Health Services)
• Frontier Health
• Frontier Health (Turning Point)
• Frontier Health (Victory Center)
• Frontier Health (Virginia's Place)

• Mental Illness Community Based Residential Treatment Facility in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.