Organization Name: | FRONTIER HOME MEDICAL, INC |
NPI Number: | 1558317263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY S CORNELIUS (PRESIDENT/OWNER) |
Mailing Address: | 708 E B St Mc Cook |
State: | NE US |
Postal Code: | 690013857 |
Phone Number: | 3083452068 |
Fax Number: | 3083456921 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 247860889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |