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Contact Information

FRONTIER HEALTH
1570 WAVERLY RD
KINGSPORT, TN37664-2523
 Phone: 423-224-1300
 Fax: 423-224-1375
 Website:
Indicates primary specialty

NPI Profile & details for FRONTIER HEALTH

NPI # 1700940251
LBN Legal business name FRONTIER HEALTH
Authorized official TERESA KIDD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 10/04/2018 - About 8 years ago
Identifiers
TN License # 364
TN License # L 214-076-1418
TN Medicaid 49-4916-1
TN Medicaid SAME AS MEDICARE #S
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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