Healthcare Provider Details

I. General information

NPI: 1396017570
Provider Name (Legal Business Name): FRONTIER ACCESS & MOBILITY SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2012
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 E. MULLBERRY
FORT COLLINS CO
80524
US

IV. Provider business mailing address

6540 S COLLEGE AVE
FORT COLLINS CO
80525-4040
US

V. Phone/Fax

Practice location:
  • Phone: 970-223-8267
  • Fax: 970-223-3357
Mailing address:
  • Phone: 970-223-8267
  • Fax: 970-223-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. RENEE THOMAS
Title or Position: OFFICE MANAGER
Credential:
Phone: 307-637-7663