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CHURCH STREET PAVILION
NPI 1881756161
Community/Behavioral Health in Greeneville, TN

Active since December 14, 2006
616 E CHURCH ST, SUITE A, GREENEVILLE, TN 37745(423) 639-3213(423) 639-4692 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2020, Oct 4, 2018 (2 updates tracked since 2018).

About Church Street Pavilion NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHURCH STREET PAVILION (NPI 1881756161) is a healthcare organization registered as a community/behavioral health in Greeneville, Tennessee and active in the NPI registry since December 2006. The organization lists Kristie Hammonds, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1881756161
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFRONTIER HEALTH
Location Address616 E CHURCH ST, SUITE AGreeneville, TN 37745-5084
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 639-3213
Fax(423) 639-4692
Organization SubpartNo
Authorized OfficialKristie HammondsPresident And Ceo · (423) 467-3600
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1881756161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in TN · L214-076-1407
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X · License L-214-076-1407 (TN)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License L-214-076-1407 (TN)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 369 (TN)
616 E CHURCH ST, Greeneville, TN 37745
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Other Names 1

Doing Business AsChurch Street Pavilion

Other Identifiers 2

MedicaidSAME AS MEDICARE #STN
Medicaid49-4919-6VA

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JAMES PHILBECK B.S.
Case Manager/Care Coordinator
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
TINA ANN SPEAR BS
Case Manager/Care Coordinator
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
SONDRA ARMITAGE BROWN RN
Registered Nurse
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
LAURA MELISSA JUDD BA
Case Manager/Care Coordinator
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
CHARLES GEORGE LEVESQUE BS
Case Manager/Care Coordinator
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
PAUL L GOW JR. BS
Case Manager/Care Coordinator
616 E CHURCH ST, SUITE A
GREENEVILLE, TN 37745
Greene County (423) 639-3213
MARY JESSICA WILSON BS
Case Manager/Care Coordinator
616 E CHURCH ST
GREENEVILLE, TN 37745
Greene County (423) 639-3213
NANCY ANN KEY LPN
Licensed Practical Nurse
616 E CHURCH ST, SUITE A
GREENEVILLE, TN 37745
Greene County (423) 639-3213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frontier Health's NPI number?

The NPI number for Frontier Health is 1881756161. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Church Street Pavilion.

Where is Frontier Health located?

Frontier Health is located at 616 E Church St Suite A, Greeneville, TN 37745. The listed phone number is (423) 639-3213.

What is Frontier Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.