| Organization Name: | FRONTIER HOME MEDICAL, INC |
| NPI Number: | 1942266804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY CORNELIUS (PRESIDENT) |
| Mailing Address: | 304 W 8th St Cozad |
| State: | NE US |
| Postal Code: | 691301734 |
| Phone Number: | 3087843040 |
| Fax Number: | 3087843061 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 03/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 247860889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |