Church Street Pavilion/Victory Center

LBN: Frontier Health
Church Street Pavilion/Victory Center is an health care organization with primary practice located at 616 E Church St , Greeneville TN 37745-5084. 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 / Rehabilitation is the primary health care specialty. Frontier Health can be contacted via phone (423) 639-3213, or through Varney, E. Douglas via phone (423) 467-3600.

Contact Information

Primary practice address
616 E Church St Greeneville TN 37745-5084
Phone: (423) 639-3213
Fax: (423) 467-3644
Website:
Map and Directions
Authorized official contact:
Name: Varney, E. Douglas
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X I000000006376 Tennessee
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X I000000006376 Tennessee

Profile Details

NPI number 1841518867
LBN Legal business name Frontier Health
DBA Doing business as Church Street Pavilion/Victory Center
Authorized official Varney, E. Douglas
Entity Organization
Organization subpart 1 Yes
Enumeration date May 14th, 2010
Last updated May 14th, 2010 - about 14 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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