Organization Name: | FRONTIER HEALTH |
NPI Number: | 1396809851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | E DOUGLAS VARNEY (PRESIDENT AND CEO) |
Mailing Address: | 318 Donnelly St Mountain City |
State: | TN US |
Postal Code: | 376831510 |
Phone Number: | 4237272100 |
Fax Number: | 4237272110 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 366 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |