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Contact Information

FRONTIER MEDICAL HOME CARE INC
217 A NORTH MAIN
ROSWELL, NM88201
 Phone: 505-627-1112
 Fax: 505-627-1113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for FRONTIER MEDICAL HOME CARE INC

NPI # 1164459988
LBN Legal business name FRONTIER MEDICAL HOME CARE INC
Authorized official MICHAEL HOLT - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2006
Last updated 06/20/2012 - About 14 years ago
Identifiers
NM License # 03003588000
NM Medicaid 06089798
NM Other NM00HHA6 BLUE CROSS BLUE SHIELD OF
NM Other 201069273 PRES SALUD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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