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Contact Information

HEALTHLINE MEDICAL EQUIPMENT LLC
4709 LYDIA DR
WICHITA FALLS, TX76308-4537
 Phone: 940-691-6100
 Fax: 940-691-0757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for HEALTHLINE MEDICAL EQUIPMENT LLC

NPI # 1962401620
LBN Legal business name HEALTHLINE MEDICAL EQUIPMENT LLC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 10/14/2025 - About 8 months ago
Identifiers
TX License # 0037358
TX License # 0059074
TX Medicaid 016165501
TX Medicaid 087415801
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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