Active NPI
Frontier Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, TN
National Provider Identifier
1326288093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- L000000002495
- Legal business name
- FRONTIER HEALTH
- Practice address
- 2940 Broad St
Bristol, TN 37620-3414 - Phone
- (423) 968-1681
- Fax
- (423) 467-3644
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Organization subpart
- Yes
- Parent organization
- FRONTIER HEALTH
NPPES NPI Registry
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 & Ceo
- Phone
- (423) 467-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | L000000002495 | TN | Primary |
Addresses
Primary practice location
2940 Broad St
Bristol, TN 37620-3414
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3721
Other names 1
- MOORE HOUSE
National Provider Directory
National Provider Directory- Tax ID family
- Frontier Health
- Part of
- Frontier Health
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.
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
-
dba Magnolia Ridge
- Substance Abuse Rehabilitation Facility
- Johnson City, TN
- NPI 1053476333
-
dba Fairmount Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, TN
- NPI 1073735643
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1093958944
-
dba Gibson Place 210
- Psychiatric Residential Treatment Facility
- Johnson City, TN
- NPI 1124463849
-
dba Fairview Associates of Johnson City
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1134282551
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1144460817
-
dba Crisis Triage
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1174005276
-
dba Bristol Regional Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
- NPI 1235291295
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
-
dba Roller Russ Residence for Independent Living
- Mental Illness Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1265597280
-
dba Laurel House
- Mental Illness Community Based Residential Treatment Facility
- Johnson City, TN
- NPI 1265632392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1326288093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3721",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 BROAD ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376203414",
"telephone_number": "423-968-1681",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRONTIER HEALTH",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "VARNEY",
"authorized_official_first_name": "E.",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TN",
"license": "L000000002495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MOORE HOUSE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bristol, TN
- Franklin Healthcare, Inc.
- Rachel K Freeman, NP
- Frontier Health (Adolescent Drug and Alcohol Recovery)
- Frontier Health (Fairmount Group Home)
- Frontier Health (Bristol Regional Counseling Center)
- Frontier Health (Supportive Living - Bristol)
- Frontier Health (R. Grant Widner Group Home)
- Frontier Health (Bristol Behavioral Health Services)
- Frontier Health (Tennessee Community Support Services)
- Frontier Health (Frontier Industries Bristol)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.