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	332BX2000X	Oxygen Equipment & Supplies (DME)	247860889	NE

General Provider Information

NPI Number	:	1942266804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER HOME MEDICAL, INC

Provider Business Mailing Address
First Line	:	304 W 8TH ST
Second Line	:
City	:	COZAD
State	:	NE
Zip	:	69130-1734
Country	:	US
Telephone Number	:	308-784-3040
Fax Number	:	308-784-3061

Provider Business Practice Location Address
First Line	:	304 W 8TH ST
Second Line	:
City	:	COZAD
State	:	NE
Zip	:	69130-1734
Country	:	US
Telephone Number	:	308-784-3040
Fax Number	:	308-784-3061

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	03/19/2014

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Directions to “FRONTIER HOME MEDICAL, INC ” Practice Location

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