Active NPI
Frontier Health
Doing business as Gibson Place 208
- Psychiatric Residential Treatment Facility
- Johnson City, TN
National Provider Identifier
1841635562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- I000000012507
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Gibson Place 208
- Practice address
- 208 Quary Rd
Johnson City, TN 37601-7580 - Phone
- (423) 232-7234
- Fax
- (423) 467-3644
- NPI assigned
- May 8, 2013
- Last updated
- Jan 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristie Hammonds
- Title
- President & Ceo
- Phone
- (423) 467-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | I000000012507 | TN | Primary |
Addresses
Primary practice location
208 Quary Rd
Johnson City, TN 37601-7580
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
Other names 1
- GIBSON PLACE 208
National Provider Directory
National Provider Directory- Tax ID family
- Lee County Integrated Care
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Holston Counseling Center
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1700940251
-
dba Frontier Industries Kingsport
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1700941721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
-
dba Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
- NPI 1760547004
-
dba Midland Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingsport, TN
- NPI 1780556860
-
dba R. Grant Widner Group Home
- Mental Illness Community Based Residential Treatment Facility
- Bristol, TN
- NPI 1801018387
-
dba Virginia's Place
- Substance Abuse Rehabilitation Facility
- Johnson City, TN
- NPI 1811053341
-
dba Bristol Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
- NPI 1811744477
-
dba Tennessee Community Support Services
- Adult Mental Health Clinic/Center
- Bristol, TN
- NPI 1821154352
-
dba Church Street Pavilion/Victory Center
- Rehabilitation Clinic/Center
- Greeneville, TN
- NPI 1841518867
Locations
208 Quary Rd
Johnson City, TN 37601
Phone (423) 232-7234
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Johnson City, TN
- NPI 1063855575
-
- Counselor
- Johnson City, TN
- NPI 1093152803
-
- Licensed Practical Nurse
- Johnson City, TN
- NPI 1790370591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1841635562",
"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": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 QUARY RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376017580",
"telephone_number": "423-232-7234",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "HAMMONDS",
"authorized_official_first_name": "KRISTIE",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "TN",
"license": "I000000012507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GIBSON PLACE 208",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GIBSON PLACE 208",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.