MEDICARE: WILBEA MEDIAL EQUIPMENT LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225904485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILBEA MEDIAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	1225 N MAIN ST
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-1901
Country	:	US
Telephone Number	:	254-939-7171
Fax Number	:	318-746-7911

Provider Business Practice Location Address
First Line	:	13077 MS HIGHWAY 182
Second Line	:
City	:	STARKVILLE
State	:	MS
Zip	:	39759-1649
Country	:	US
Telephone Number	:	254-939-7171
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	CLAUDE N FRIESLAND JR.
Credential	:
Telephone Number	:	318-746-6288

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	03/16/2026

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