Frontier Health

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Bristol, TN

NPI 1811744477 · NPPES record last updated May 2, 2024

Key facts

NPI
1811744477
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
FRONTIER HEALTH
Practice address
1145 Volunteer Pkwy
Bristol, TN 37620-4652
Phone
(423) 989-4500
NPI assigned
May 2, 2024
Organization subpart
No

Authorized official

Name
Diane K Bowen, MED
Title
Sr. VP of Operations
Phone
(423) 467-3600

Corporate family (same tax ID) 21

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

Practitioners 2

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

1145 Volunteer Pkwy
Bristol, TN 37620-4652

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other names

  • Bristol Behavioral Health Services Doing business as

Other providers in Bristol, TN

All providers in Bristol, TN · Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

Sources for this page

Verify at the official NPI Registry.