Organization
FRONTIER HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY CORNELIUS (PRESIDENT/OWNER)
(308) 784-3040
Entity
Organization
Contact information
Practice address
902 AVENUE D, SUITE 102, GOTHENBURG, NE 69138-1900
(308) 537-7727
(308) 537-7366
Mailing address
902 AVENUE D, SUITE 102, GOTHENBURG, NE 69138-1900
(308) 537-7727
(308) 537-7366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/25/2011
Last updated
03/03/2014
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