Healthcare Provider Details

I. General information

NPI: 1689606071
Provider Name (Legal Business Name): HEARTLINE PLUS MEDICAL SUPPLIERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MAIN STREET
HARRISVILLE WV
26362
US

IV. Provider business mailing address

PO BOX 304 600 E MAIN STREET
HARRISVILLE WV
26362
US

V. Phone/Fax

Practice location:
  • Phone: 304-643-4675
  • Fax: 304-643-4678
Mailing address:
  • Phone: 304-643-4675
  • Fax: 304-643-4678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE E MCGUIRE
Title or Position: MANAGER
Credential:
Phone: 304-643-4675