Organization
180 MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(405) 443-2985
Entity
Organization
Contact information
Practice address
2830 HORACE SHEPARD DR, SUITE 2, DOTHAN, AL 36303-1007
(334) 803-8135
(888) 718-0633
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(888) 718-0633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006616600
—
FL
05
—
129293
—
AL
05
—
300801390A
—
GA
Enumeration date
12/01/2009
Last updated
05/18/2022
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