# FRONTIER HOME MEDICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942266804
- **Authorized official:** GREGORY CORNELIUS (PRESIDENT)
- **Authorized official phone:** (308) 784-3040

## Contact information

- **Practice address:** 304 W 8TH ST, COZAD, NE 69130-1734
- **Practice address phone:** (308) 784-3040
- **Practice address fax:** (308) 784-3061
- **Mailing address:** 304 W 8TH ST, COZAD, NE 69130-1734
- **Mailing address phone:** (308) 784-3040
- **Mailing address fax:** (308) 784-3061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 247860889 | NE | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 03/19/2014