Organization Name: | FRONTIER HOME MEDICAL, INC |
NPI Number: | 1184902280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY CORNELIUS (PRESIDENT/OWNER) |
Mailing Address: | 902 Avenue D Suite 102 Gothenburg |
State: | NE US |
Postal Code: | 691381900 |
Phone Number: | 3085377727 |
Fax Number: | 3085377366 |
NPI Enumeration Date: | 07/25/2011 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |