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FRONTIER HEALTH

Ambulatory Health Care Facilities Clinic/Center Rehabilitation

Provider NPI: 1730245010

Organization Information:
Organization Name:  FRONTIER HEALTH
Organization is not Subpart
Authorized Official:  TERESA M KIDD  PRESIDENT AND CEO  423-467-3600

Practice Location:
2243 EDDIE WILLIAMS RD  JOHNSON CITY, TN 37601-2872 US
Tel: 423-928-5627  Fax: 423-928-4222

Business Mailing Address:
PO BOX 9054  GRAY, TN 37615-9054 US
Tel: 423-467-3600  Fax: 423-467-3644

NPI Information:
NPI: 1730245010
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QR0400XAmbulatory Health Care Facilities
Clinic/Center
Rehabilitation
TNL 229-076-1429
Y261QM0850XAmbulatory Health Care Facilities
Clinic/Center
TNL 229-076-1429

Other Provider Identifiers:

IssuerNumberStateType
49-4920-0VA05



American Medical Association 2012 taxonomy code information

Code: 261QM0850X

Type:

Classification:



Definition:



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