Charlotte Taylor Center

LBN: Frontier Health
Charlotte Taylor Center is an health care organization with primary practice located at 426 E G St , Elizabethton TN 37643-3224. 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. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Frontier Health can be contacted via phone (423) 547-5950, or through Hammonds, Kristie via phone (423) 467-3600.

Contact Information

Primary practice address
426 E G St Elizabethton TN 37643-3224
Fax: (423) 547-5953
Website:
Authorized official contact:
Name: Hammonds, Kristie PHD

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L-214-076-1406 Tennessee
Agencies / Community/Behavioral Health 251S00000X L-214-076-1406 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L-214-076-1406 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 363 Tennessee

Profile Details

NPI number 1962564435
LBN Legal business name Frontier Health
DBA Doing business as Charlotte Taylor Center
Authorized official Hammonds, Kristie PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jan 10th, 2020 - about 4 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 1962564435 NPPES
Tennessee MEDICAID SAME AS MEDICARE #S
Tennessee MEDICAID 49-4912-9

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