Erwin Mental Health Center

LBN: Frontier Health
Erwin Mental Health Center is an health care organization with primary practice located at 218 N Main Ave , Erwin TN 37650-1234. 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. Agencies / Case Management is the primary health care specialty. Frontier Health can be contacted via phone (423) 743-1470, or through Hammonds, Kristie via phone (423) 467-3600.

Contact Information

Primary practice address
218 N Main Ave Erwin TN 37650-1234
Phone: (423) 743-1470
Fax: (423) 467-3644
Website:
Map and Directions
Authorized official contact:
Name: Hammonds, Kristie
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L-214-076-1410 Tennessee
Agencies / Case Management 251B00000X L000000015381 Tennessee
Agencies / Community/Behavioral Health 251S00000X L-214-076-1410 Tennessee
Agencies / Community/Behavioral Health 251S00000X L000000015381 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L-214-076-1410 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L000000015381 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 322 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X L000000015381 Tennessee

Profile Details

NPI number 1568524759
LBN Legal business name Frontier Health
DBA Doing business as Erwin Mental Health Center
Authorized official Hammonds, Kristie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jan 10th, 2020 - about 5 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 1568524759 NPPES
Tennessee MEDICAID 3920247
Tennessee MEDICAID 49-4913-7
Tennessee MEDICAID SAME AS MEDICARE #S

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