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
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(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
1886232576
OK
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001528800
—
MD
05
—
008068711
—
CT
05
—
010082897
—
VA
05
—
0198056
—
NJ
05
—
03478309
—
MS
05
—
04322405
—
NY
05
—
052070200
—
DC
05
—
0578997
—
IA
05
—
1021600
—
AK
05
—
1026200
—
VT
05
—
102650016
—
ME
05
—
119251500
—
WY
05
—
152077716
—
AR
05
—
1639160708
—
NV
05
—
1639160708-000
—
ID
05
—
200001560A
—
OK
05
—
200505230A
—
IN
05
—
2484093
—
OH
05
—
3071425
—
NH
05
—
4582324
—
TN
05
—
5606991
—
MT
05
—
625995808
—
MO
05
—
7100096610
—
KY
05
—
717660100
—
MN
05
—
79972896
—
NM
05
—
842915
—
AZ
05
—
8860001
—
RI
05
—
9055500
—
WA
05
—
9167680
—
SD
Enumeration date
10/28/2005
Last updated
05/18/2022
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