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Organization

FRONTIER MEDICAL HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL D HOLT (ADMINISTRATOR)
(505) 627-1112
Entity
Organization

Contact information

Practice address
217 A NORTH MAIN, ROSWELL, NM 88201
(505) 627-1112
(505) 627-1113
Mailing address
217 A NORTH MAIN, ROSWELL, NM 88201
(505) 627-1112
(505) 627-1113

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03003588000
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06089798
NM
01
201069273
PRES SALUD
NM
01
NM00HHA6
BLUE CROSS BLUE SHIELD OF
NM
Enumeration date
06/27/2006
Last updated
06/20/2012
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