Supported Living - Kingsport

LBN: Frontier Health
Supported Living - Kingsport is an health care organization with primary practice located at 2017 Stonebrook Pl , Kingsport TN 37660-4000. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Frontier Health can be contacted via phone (423) 224-1417, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
2017 Stonebrook Pl Kingsport TN 37660-4000
Phone: (423) 224-1417
Fax: (423) 224-1418
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 3(20)24M3-076-1414 Tennessee

Profile Details

NPI number 1508917642
LBN Legal business name Frontier Health
DBA Doing business as Supported Living - Kingsport
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 5th, 2018 - about 7 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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