MEDICARE: FRONTIER HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	L 214-076-1423	TN
2	251S00000X	Community/Behavioral Health Agency	L 241-076-1423	TN
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	368	TN
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	L 214-076-1423	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760547004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 9054
Second Line	:
City	:	GRAY
State	:	TN
Zip	:	37615-9054
Country	:	US
Telephone Number	:	423-467-3600
Fax Number	:	423-467-3644

Provider Business Practice Location Address
First Line	:	401 HOLSTON DR
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37743-3127
Country	:	US
Telephone Number	:	423-639-1104
Fax Number	:	423-636-8365

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MRS. TERESA M KIDD
Credential	:	PHD
Telephone Number	:	423-467-3600

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	10/04/2018

Similar Medicare Providers

1023971579 — GENOA HEALTHCARE LLC
Practice Location Address:

401 HOLSTON DR STE P
GREENEVILLE, TN
37743-3127

Practice Phone: 423-823-3005
Practice Fax: 423-485-6992

1477566552 — MRS. ADRIENNE SUSAN LONG M ED
Practice Location Address:

401 HOLSTON DR , NOLA CHUCKEY
GREENEVILLE, TN
37743-3127

Practice Phone: 423-639-1100
Practice Fax: 423-639-7045

1063544666 — MRS. KAREN MALINDA LANE APRN
Practice Location Address:

401 HOLSTON DR
GREENEVILLE, TN
37743-3127

Practice Phone: 423-639-1104
Practice Fax: 423-467-3644

1861514168 — LINDSAY ROSE REEVES BBA
Practice Location Address:

401 HOLSTON DR
GREENEVILLE, TN
37743-3127

Practice Phone: 423-639-1104
Practice Fax: 423-636-8365

1952527657 — AARON L ASHLEY MS
Practice Location Address:

401 HOLSTON DR
GREENEVILLE, TN
37743-3127

Practice Phone: 423-639-1104
Practice Fax: 423-636-8365

1053538983 — AMY TAIS CARRIER MA
Practice Location Address:

401 HOLSTON DR
GREENEVILLE, TN
37743-3127

Practice Phone: 423-639-1104
Practice Fax: 423-636-8646

Directions to “FRONTIER HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.