Organization · NPI-2

180 Medical, INC.

Durable Medical Equipment & Medical Supplies · Charlotte, NC

NPI number1265760920
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1265760920
Entity type
Organization (NPI-2)
Legal business name
180 Medical, INC.
Organization subpart
No
Enumeration date
Nov 18, 2009
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies02000NCYes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment02000NC

Practice location

717 Atando Ave
Suite J
Charlotte, NC 28206-1915

Phone 980-207-1156 · 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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