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Frontier Health

Organization Active NPI Community/Behavioral Health Agency · Kingsport, TN

NPI 1508917642 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1508917642
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
L 3(20)24M3-076-1414 (TN)
Legal business name
FRONTIER HEALTH
Practice address
2017 Stonebrook PL
Kingsport, TN 37660-4000
Phone
(423) 224-1417
Fax
(423) 224-1418
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

Name
Dr. Teresa M Kidd, PHD
Title
President and Ceo
Phone
(423) 467-3600

Corporate family (same tax ID) 24

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L 3(20)24M3-076-1414 TN Yes

Addresses

Primary practice location

2017 Stonebrook PL
Kingsport, TN 37660-4000

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other names

  • Supported Living - Kingsport Doing business as

Other providers in Kingsport, TN

All providers in Kingsport, TN · Community/Behavioral Health Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.