MEDICARE: WILBEA MEDICAL 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	16-12208	KS

General Provider Information

NPI Number	:	1306079173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILBEA MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	PO BOX 1417
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-5417
Country	:	US
Telephone Number	:	254-939-7171
Fax Number	:	318-746-7911

Provider Business Practice Location Address
First Line	:	4814 8TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-4665
Country	:	US
Telephone Number	:	620-793-7755
Fax Number	:	620-793-7755

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

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	06/19/2026

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