# FRONTIER HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Addington Hall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194886788
- **Authorized official:** DR. TERESA M KIDD PHD (PRESIDENT AND CEO)
- **Authorized official phone:** (423) 467-3600

## Contact information

- **Practice address:** 1100 US HIGHWAY 58, DUFFIELD, VA 24244
- **Practice address phone:** (276) 431-4370
- **Practice address fax:** (276) 431-2863
- **Mailing address:** PO BOX 9054, GRAY, TN 37615-9054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 315-16-001 | VA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 315-07-004 | VA | — |
| 385HR2055X | Child Mental Illness Respite Care | 315-03-001 | VA | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 315-03-001 | VA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 10/04/2018