Hawkins County Mental Health Clinic

LBN: Frontier Health
Hawkins County Mental Health Clinic is an health care organization with primary practice located at 101 Lena Dr , Rogersville TN 37857-2951. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Frontier Health can be contacted via phone (423) 272-9239, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
101 Lena Dr Rogersville TN 37857-2951
Phone: (423) 272-9239
Fax: (423) 272-1803
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L 214-076-1416 Tennessee
Agencies / Community/Behavioral Health 251S00000X L 214-076-1416 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L 214-076-1416 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 370 Tennessee

Profile Details

NPI number 1043374564
LBN Legal business name Frontier Health
DBA Doing business as Hawkins County Mental Health Clinic
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 5th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043374564 NPPES
Virginia MEDICAID 49-4762-2
Virginia MEDICAID SAME AS MEDICARE #S

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