Provider Demographics
NPI:1720039308
Name:HEALTHLINE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:HEALTHLINE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-870-0701
Mailing Address - Street 1:403 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-4322
Mailing Address - Country:US
Mailing Address - Phone:903-583-6990
Mailing Address - Fax:903-583-2556
Practice Address - Street 1:403 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-4322
Practice Address - Country:US
Practice Address - Phone:903-583-6990
Practice Address - Fax:903-583-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31401332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093840002Medicare ID - Type UnspecifiedMEDICARE