Fairview Associates Of Johnson City

LBN: Frontier Health
Fairview Associates Of Johnson City is an health care organization with primary practice located at 607 Baxter St , Johnson City TN 37601-4003. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Frontier Health can be contacted via phone (423) 232-2670, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
607 Baxter St Johnson City TN 37601-4003
Phone: (423) 232-2670
Fax: (423) 928-0381
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X L-214-076-1412 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L-214-076-1412 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 319 Tennessee

Profile Details

NPI number 1134282551
LBN Legal business name Frontier Health
DBA Doing business as Fairview Associates Of Johnson City
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 4th, 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 1134282551 NPPES
Tennessee MEDICAID SAME AS MEDICARE #S
Tennessee MEDICAID 49-4914-5

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