NPIMap

Organization Active NPI

Frontier Health

Doing business as Frontier Industries Bristol

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bristol, TN
National Provider Identifier
1922164599
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
L (20)24M6-076-1413 Issued in TN
Legal business name
FRONTIER HEALTH
Doing business as
Frontier Industries Bristol
Practice address
1135 Volunteer Pkwy Ste 14
Bristol, TN 37620-4658
Phone
(423) 878-1600
Fax
(423) 878-1606
NPI assigned
Dec 28, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kristie Hammonds
Title
President and Ceo
Phone
(423) 467-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L (20)24M6-076-1413 TN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X L (20)24M6-076-1413 TN Primary

Addresses

Primary practice location

1135 Volunteer Pkwy Ste 14
Bristol, TN 37620-4658

Mailing address

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

Other names 1

  • Frontier Industries Bristol Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wise County Integrated Care62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

  • Frontier Health

    dba Traces

    • Foster Care Agency
    • Kingsport, TN
    • NPI 1760838197
    NPD tax ID
  • Frontier Health

    dba Midland Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Kingsport, TN
    • NPI 1780556860
    NPD tax ID
  • Frontier Health

    dba R. Grant Widner Group Home

    • Mental Illness Community Based Residential Treatment Facility
    • Bristol, TN
    • NPI 1801018387
    NPD tax ID
  • Frontier Health

    dba Virginia's Place

    • Substance Abuse Rehabilitation Facility
    • Johnson City, TN
    • NPI 1811053341
    NPD tax ID
  • Frontier Health

    dba Bristol Behavioral Health Services

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Bristol, TN
    • NPI 1811744477
    NPD tax ID
  • Frontier Health

    dba Tennessee Community Support Services

    • Adult Mental Health Clinic/Center
    • Bristol, TN
    • NPI 1821154352
    NPD tax ID
  • Frontier Health

    dba Church Street Pavilion/Victory Center

    • Rehabilitation Clinic/Center
    • Greeneville, TN
    • NPI 1841518867
    NPD tax ID
  • Frontier Health

    dba Gibson Place 208

    • Psychiatric Residential Treatment Facility
    • Johnson City, TN
    • NPI 1841635562
    NPD tax ID
  • Frontier Health
    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Greeneville, TN
    • NPI 1871733543
    NPD tax ID
  • Frontier Health

    dba Frontier Health Crossing Point

    • Community/Behavioral Health Agency
    • Bluff City, TN
    • NPI 1871947754
    NPD tax ID
  • Frontier Health

    dba Frontier Health Link House

    • Community/Behavioral Health Agency
    • Kingsport, TN
    • NPI 1871949123
    NPD tax ID
  • Frontier Health

    dba Church Street Pavilion

    • Community/Behavioral Health Agency
    • Greeneville, TN
    • NPI 1881756161
    NPD tax ID
View all 13

Locations

1135 Volunteer Pkwy
Ste 14
Bristol, TN 37620
Phone (423) 878-1600

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1922164599",
    "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": "1135 VOLUNTEER PKWY STE 14",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204658",
            "telephone_number": "423-878-1600",
            "fax_number": "423-878-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L (20)24M6-076-1413",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L (20)24M6-076-1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Industries Bristol",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontier Industries Bristol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.