Organization · NPI-2

180 Medical INC

Durable Medical Equipment & Medical Supplies · Oklahoma City, OK

NPI number1639160708
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1639160708
Entity type
Organization (NPI-2)
Legal business name
180 Medical INC
Organization subpart
No
Enumeration date
Oct 28, 2005
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies1886232576OKYes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––

Practice location

8516 Nw Expressway
Oklahoma City, OK 73162-6010

Phone 877-688-2729 · 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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