FRONTIER HEALTH NPI 1235291295

NPI Information

NPI: 1235291295
Provider Name: FRONTIER HEALTH

Doing Business As: BRISTOL REGIONAL COUNSELING CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
26 MIDWAY ST
BRISTOL, TN
ZIP 37620
Phone: (423) 989-4500
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FRONTIER HEALTH is a mental health (including community mental health center) clinic center in Bristol, TN. FRONTIER HEALTH NPI is 1235291295. The provider is registered as an organization entity type.
The provider Is Doing Business As Bristol Regional Counseling Center.

The provider's business location address is:

26 MIDWAY ST
BRISTOL, TN
ZIP 37620-706
Phone: (423) 989-4500
Fax: (423) 989-4582

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 12/15/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		L-214-076-1404	TENNESSEE	No
2	251S00000X	Community/Behavioral Health		L-214-076-1404	TENNESSEE	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	L-214-076-1404	TENNESSEE	Yes
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	361	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	49-4915-3	MEDICAID	VIRGINIA
2	SAME AS MEDICARE #S	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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