Frontier Medical LLC

Key facts

NPI

1639749740

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

FRONTIER MEDICAL LLC

Practice address

900 S 300 W
Morgan, UT 84050-9653

Phone

(801) 979-4638

NPI assigned

Jun 30, 2021

Organization subpart

No

Authorized official

Name

Kansas Whitear NPI 1750869889

Title

Owner

Phone

(801) 979-4638

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kansas Whitear Durable Medical Equipment & Medical Supplies · South Weber, UT · NPI 1750869889
  NPD Authorized official DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2021.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1639749740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 300 W",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509653",
            "telephone_number": "801-979-4638",
            "fax_number": "801-605-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 300 W",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509653",
            "telephone_number": "801-979-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "WHITEAR",
        "authorized_official_first_name": "KANSAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-979-4638"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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