OrganizationActive
Frontier Health
NPI 1922164599 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bristol, TN
Provider details
- NPI number
- 1922164599
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kristie Hammonds, President and Ceo(423) 467-3600
- License
- L (20)24M6-076-1413 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense L (20)24M6-076-1413 (TN)
Residential Treatment Facilities
Agencies
Practice location
1135 Volunteer Pkwy Ste 14
Bristol, TN 37620-4658
Phone: (423) 878-1600
Fax: (423) 878-1606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9054
Gray, TN 37615-9054
Other names (DBA / former)
- Doing business as
- Frontier Industries Bristol
- Doing business as
- Frontier Industries Bristol
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.