Organization
EXPRESS MEDICAL SUPPLY, LTD.
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
803 US HIGHWAY 83 N, CHILDRESS, TX 79201
(940) 937-3370
(940) 937-3735
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156129202
—
TX
01
—
531512
BCBS
TX
Enumeration date
06/15/2006
Last updated
08/25/2023
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