Frontier Health

NPI #1811744477 in Bristol, Tennessee

Provider Information

NPI Number: 1811744477
Entity Type: Organization
Organization Name: Frontier Health
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 1145 VOLUNTEER PKWY
City: Bristol
State: Tennessee
ZIP Code: 37620-4652
Phone: (423) 989-4500

Authorized Official

Name: DIANE K BOWEN, MED
Title: SR. VP OF OPERATIONS
Phone: (423) 467-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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