FRONTIER HEALTH NPI 1043374564

NPI Information

NPI: 1043374564
Provider Name: FRONTIER HEALTH

Doing Business As: HAWKINS COUNTY MENTAL HEALTH CLINIC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
101 LENA DR
ROGERSVILLE, TN
ZIP 37857
Phone: (423) 272-9239
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FRONTIER HEALTH is a mental health (including community mental health center) clinic center in Rogersville, TN. FRONTIER HEALTH NPI is 1043374564. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawkins County Mental Health Clinic.

The provider's business location address is:

101 LENA DR
ROGERSVILLE, TN
ZIP 37857-951
Phone: (423) 272-9239
Fax: (423) 272-1803

The provider's authorized official is Teresa M Kidd .
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 12/20/2006 and was last updated on 10/5/2018.

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 214-076-1416	TENNESSEE	No
2	251S00000X	Community/Behavioral Health		L 214-076-1416	TENNESSEE	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	370	TENNESSEE	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	L 214-076-1416	TENNESSEE	Yes

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	49-4762-2	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: 5/5/2024

NPI Synchronization or Removal

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