Victory Center
LBN: Frontier Health
Victory Center is an health care organization with primary practice located at 2243 Eddie Williams Rd , Johnson City TN 37601-2872. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Frontier Health can be contacted via phone (423) 928-5627, or through Kidd, Teresa M via phone (423) 467-3600.
Contact Information
Primary practice address
2243 Eddie Williams Rd
Johnson City TN 37601-2872
Phone: (423) 928-5627
Fax: (423) 928-4222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | L 229-076-1429 | Tennessee |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | L 229-076-1429 | Tennessee |
Profile Details
| NPI number | 1730245010 |
|---|---|
| LBN Legal business name | Frontier Health |
| DBA Doing business as | Victory Center |
| Authorized official | Kidd, Teresa M PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Dec 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730245010 | NPPES |
| Virginia | MEDICAID | 49-4920-0 |
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