180 Medical, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Lenexa, KS
NPI 1326327115 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1326327115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 16-00547 (KS)
- Legal business name
- 180 MEDICAL, INC.
- Practice address
- 9050 Parkhill St
Lenexa, KS 66215-3536 - Phone
- (913) 766-9026
- Fax
- (888) 718-0633
- NPI assigned
- Aug 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffery B Hendrix
- Title
- Cfo
- Phone
- (405) 443-2985
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 180 Medical Inc. |
Commodes, Urinals, Bedpans|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250730000262 | KS | DME Supplier - Medical Supply Company | 7810101920 | Practice locations: Lenexa, KS |
National Provider Directory
- Tax ID family
- 180 Medical Inc
Locations
9050 Parkhill St
Lenexa, KS 66215
Phone (913) 466-9026
1520 N Hearne Ave
Ste 112
Shreveport, LA 71107
Phone (318) 798-4977
36935 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 338-7700
717 Atando Ave
Ste J
Charlotte, NC 28206
Phone (980) 207-1156
15 Hazelwood Dr
Ste 108
Buffalo, NY 14228
Phone (716) 260-1436
5324 W Reno Ave
Ste A
Oklahoma City, OK 73127
Phone (405) 702-7707
7869 SW Nimbus Ave
Spc 29E
Beaverton, OR 97008
Phone (503) 643-9600
500 Business Center Dr
Ste 3
Pittsburgh, PA 15205
Phone (412) 415-1291
5175 Elmore Rd
Ste 18
Memphis, TN 38134
Phone (901) 729-6742
140 Magic Oaks Dr
Spring, TX 77388
Phone (281) 362-5035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 16-00547 | KS | Yes |
Addresses
Primary practice location
9050 Parkhill St
Lenexa, KS 66215-3536
Mailing address
8516 NW Expressway
Oklahoma City, OK 73162-6010
Phone (877) 688-2729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200769290A | Medicaid | KS |
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- ABA Supportive Care KS LLC
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All providers in Lenexa, KS · Durable Medical Equipment & Medical Supplies in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.