MEDICARE: FRONTIER HOME MEDICAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1528346624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER HOME MEDICAL, INC

Provider Business Mailing Address
First Line	:	316 EAST AVE
Second Line	:
City	:	HOLDREGE
State	:	NE
Zip	:	68949-2709
Country	:	US
Telephone Number	:	308-995-8660
Fax Number	:	308-995-8661

Provider Business Practice Location Address
First Line	:	316 EAST AVE
Second Line	:
City	:	HOLDREGE
State	:	NE
Zip	:	68949-2709
Country	:	US
Telephone Number	:	308-995-8660
Fax Number	:	308-995-8661

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. GREGORY CORNELIUS
Credential	:
Telephone Number	:	308-784-3040

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	04/24/2014

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Directions to “FRONTIER HOME MEDICAL, INC ” Practice Location

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