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Frontier Health

Organization Active NPI Substance Abuse Rehabilitation Facility · Johnson City, TN

NPI 1811053341 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1811053341
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
FRONTIER HEALTH
Practice address
900 Buffalo St
Johnson City, TN 37604-6720
Phone
(423) 461-7750
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) 22

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

Practitioners 20

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)

Locations

808 Frank Jones Rd
Johnson City, TN 37601
Phone (423) 461-7750

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

900 Buffalo St
Johnson City, TN 37604-6720

Mailing address

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

Other names

  • Virginia's Place 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 Jun 5, 2025.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1811053341",
    "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": "900 BUFFALO ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046720",
            "telephone_number": "423-461-7750",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

All providers in Johnson City, TN · Substance Abuse Rehabilitation Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.