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FRONTIER HEALTH NPI 1326288093


NPI Information

NPI: 1326288093
Provider Name: FRONTIER HEALTH

Other Name: MOORE HOUSE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2940 BROAD ST
BRISTOL, TN
ZIP 37620
Phone: (423) 968-1681
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FRONTIER HEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Bristol, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FRONTIER HEALTH NPI is 1326288093. The provider is registered as an organization entity type.
The provider Other Name Is Moore House.

The provider's business location address is:

2940 BROAD ST
BRISTOL, TN
ZIP 37620-414
Phone: (423) 968-1681
Fax: (423) 467-3644

The provider's authorized official is E. Douglas Varney .
The authorized official title is President & Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 2/20/2009.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesL000000002495TENNESSEEYes

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: 5/5/2024

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