Holston Children & Youth Services

LBN: Frontier Health
Holston Children & Youth Services is an health care organization with primary practice located at 2001 Stonebrook Pl , Kingsport TN 37660-4000. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Frontier Health can be contacted via phone (423) 224-1000, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
2001 Stonebrook Pl Kingsport TN 37660-4000
Phone: (423) 224-1000
Fax: (423) 224-1023
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 214-076-1417 Tennessee
Agencies / Community/Behavioral Health 251S00000X L 214-076-1417 Tennessee
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X L 214-076-1417 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 316 Tennessee

Profile Details

NPI number 1578627006
LBN Legal business name Frontier Health
DBA Doing business as Holston Children & Youth Services
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578627006 NPPES
Tennessee MEDICAID SAME AS MEDICARE #S
Tennessee MEDICAID 49-4923-4

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