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
1503 LYNCH LN, CLARKSVILLE, IN 47129-2292
(812) 314-7003
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
169685
KY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000811A
IN
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0869
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085670A
—
IN
05
—
7100221870
—
KY
Enumeration date
05/04/2011
Last updated
01/08/2026
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