| Frontier Health | |
|
200 W Fairview Ave Johnson City TN 37604-5611 | |
| (423) 926-4171 | |
| (423) 467-3644 |
| Full Name | Frontier Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 200 W Fairview Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | E. Douglas Varney (PRESIDENT & CEO) |
| Authorized Official Contact | 4234673600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Health 1167 Spratlin Park Dr Gray TN 37615-6205 Ph: (423) 467-3600 | Frontier Health 200 W Fairview Ave Johnson City TN 37604-5611 Ph: (423) 926-4171 |
| NPI Number | 1093958944 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093958944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | I000000004184 (Tennessee) | Primary |
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