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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 (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
3901 DUTCHMANS LN, SUITE 100, LOUISVILLE, KY 40207-4726
(502) 491-2000
(502) 495-2476
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
Primary
169689
KY
332B00000X
Durable Medical Equipment & Medical Supplies
69000969A
IN
332BC3200X
Customized Equipment (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0059
KY
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100023330A
IN
05
7100191340
KY
Enumeration date
06/17/2006
Last updated
10/14/2025
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