Organization
GOULD'S DISCOUNT MEDICAL LLC
Active
Parent organization
GOULD'S DISCOUNT MEDICAL LLC
Other names
Gould's Discount Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOULD'S DISCOUNT MEDICAL LLC
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
7098 DISTRIBUTION DR STE E, LOUISVILLE, KY 40258-2879
(502) 935-1100
(502) 371-0856
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
169688
KY
332B00000X
Durable Medical Equipment & Medical Supplies
69001017A
IN
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0683
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100229660
—
KY
Enumeration date
06/25/2008
Last updated
10/14/2025
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