Organization · NPI-2

180 Medical, INC.

Durable Medical Equipment & Medical Supplies · Albuquerque, NM

NPI number1831563238

StatusActive

Last updated in NPPESMay 18, 2022

Details

NPI: 1831563238
Entity type: Organization (NPI-2)
Legal business name: 180 Medical, INC.
Organization subpart: No
Enumeration date: Nov 23, 2015
Certification date: May 18, 2022
Last updated: May 18, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	–	–	Yes

Practice location

5620 San Francisco Rd Ne Ste A
Albuquerque, NM 87109-4656

Phone 505-340-2949 · 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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