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FRONTIER HEALTH NPI 1053476333


NPI Information

NPI: 1053476333
Provider Name: FRONTIER HEALTH

Doing Business As: MAGNOLIA RIDGE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
208 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 906-0940
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FRONTIER HEALTH is a substance abuse rehabilitation facility in Johnson City, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FRONTIER HEALTH NPI is 1053476333. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Ridge.

The provider's business location address is:

208 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601-626
Phone: (423) 906-0940
Fax: (423) 467-3644

The provider's authorized official is Kristie Hammonds .
The authorized official title is President And Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 1/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility430TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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