Organization
HEALTHLINE MEDICAL EQUIPMENT LLC
Active
Other names
Healthline
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
4709 LYDIA DR, WICHITA FALLS, TX 76308-4537
(940) 691-6100
(940) 691-0757
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
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0037358
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0059074
TX
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016165501
—
TX
05
—
087415801
—
TX
Enumeration date
07/15/2005
Last updated
10/14/2025
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