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FRONTIER HEALTH NPI 1821154352


NPI Information

NPI: 1821154352
Provider Name: FRONTIER HEALTH

Doing Business As: TENNESSEE COMMUNITY SUPPORT SERVICES

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
266 NORTH ST
BRISTOL, TN
ZIP 37620
Phone: (423) 989-4558
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FRONTIER HEALTH is an adult mental health clinic center in Bristol, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. FRONTIER HEALTH NPI is 1821154352. The provider is registered as an organization entity type.
The provider Is Doing Business As Tennessee Community Support Services.

The provider's business location address is:

266 NORTH ST
BRISTOL, TN
ZIP 37620-660
Phone: (423) 989-4558
Fax: (423) 989-4570

The provider's authorized official is Robin Denise Denton .
The authorized official title is Um Coordinator and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/1/2019.


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
1251B00000XCase ManagementL 214-076-1428TENNESSEENo
2251S00000XCommunity/Behavioral HealthL 214-076-1428TENNESSEENo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderL 214-076-1428TENNESSEENo
4261QM0850XClinic/CenterAdult Mental HealthL 214-076-1428TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13920247MEDICAIDTENNESSEE

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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