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	:	1558685644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER HOME MEDICAL, INC

Provider Business Mailing Address
First Line	:	601 S DEWEY ST STE 3
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-5586
Country	:	US
Telephone Number	:	308-784-3040
Fax Number	:	866-712-3835

Provider Business Practice Location Address
First Line	:	601 S DEWEY ST STE 3
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-5586
Country	:	US
Telephone Number	:	308-784-3040
Fax Number	:	866-712-3835

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	COREY DEAN KEEZER
Credential	:
Telephone Number	:	308-380-2292

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	01/28/2026

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Directions to “FRONTIER HOME MEDICAL, INC ” Practice Location

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