Organization · NPI-2

180 Medical, INC.

Durable Medical Equipment & Medical Supplies · Tempe, AZ

NPI number1184951295
StatusActive
Last updated in NPPESJul 22, 2022

Details

NPI
1184951295
Entity type
Organization (NPI-2)
Legal business name
180 Medical, INC.
Organization subpart
No
Enumeration date
Nov 10, 2009
Certification date
Jul 22, 2022
Last updated
Jul 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical SuppliesW002081AZYes

Practice location

5016 S Ash Ave Ste 109
Tempe, AZ 85282-6845

Phone 408-584-6638 · Fax 888-718-0633

Mailing address

8516 Nw Expressway
Oklahoma City, OK 73162-6010

Phone 877-688-2729 · Fax 888-718-0633

Authorized official

Jeffery B Hendrix
Cfo
4054432985

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