MEDICARE: HEALTHLINE MEDICAL EQUIPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	183430	TX

General Provider Information

NPI Number	:	1144271909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHLINE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1414 W HOUSTON ST
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7410
Country	:	US
Telephone Number	:	903-870-0701
Fax Number	:	903-870-0801

Provider Business Practice Location Address
First Line	:	1414 W HOUSTON ST
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7410
Country	:	US
Telephone Number	:	903-870-0701
Fax Number	:	903-870-0801

Authorized Official
Title or Position	:	COO
Name	:	MR. EDWARD SIMS
Credential	:
Telephone Number	:	903-870-0701

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	04/16/2008

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