180 Medical Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Oklahoma City, OK
NPI 1639160708 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1639160708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1886232576 (OK)
- Legal business name
- 180 MEDICAL INC
- Practice address
- 8516 NW Expressway
Oklahoma City, OK 73162-6010 - Phone
- (877) 688-2729
- Fax
- (888) 718-0633
- NPI assigned
- Oct 28, 2005
- 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 OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041628 | OK | DME Supplier - Medical Supply Company | 7810101920 | Practice locations: Oklahoma City, OK |
National Provider Directory
- Tax ID family
- 180 Medical Inc
Locations
5016 S Ash Ave
Tempe, AZ 85282
5016 S Ash Ave
Ste 109
Tempe, AZ 85282
Phone (408) 584-6638
1725 W University Dr
Tempe, AZ 85281
1283 Linda Vista Dr
San Marcos, CA 92078
Phone (760) 752-1479
12741 E Caley Ave
Ste 128
Centennial, CO 80111
5765 W 74th St
Bldg 112
Indianapolis, IN 46278
8200 E 34th Street Cir N
Ste 1002
Wichita, KS 67226
Phone (316) 440-4404
207 Milam St
Ste 201A
Shreveport, LA 71101
10707 Mockingbird Dr
Omaha, NE 68127
Phone (402) 315-3756
N8W22195 Johnson Dr
Ste 100
Waukesha, WI 53186
Phone (262) 349-9060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1886232576 | OK | Yes |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
8516 NW Expressway
Oklahoma City, OK 73162-6010
Mailing address
8516 NW Expressway
Oklahoma City, OK 73162-6010
Phone (877) 688-2729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639160708 | Medicaid | NV | |
| 2484093 | Medicaid | OH | |
| 8860001 | Medicaid | RI | |
| 052070200 | Medicaid | DC | |
| 200001560A | Medicaid | OK | |
| 625995808 | Medicaid | MO | |
| 7100096610 | Medicaid | KY | |
| 9055500 | Medicaid | WA | |
| 001528800 | Medicaid | MD | |
| 152077716 | Medicaid | AR | |
| 1639160708-000 | Medicaid | ID | |
| 0578997 | Medicaid | IA | |
| 1021600 | Medicaid | AK | |
| 200505230A | Medicaid | IN | |
| 717660100 | Medicaid | MN | |
| 9167680 | Medicaid | SD | |
| 008068711 | Medicaid | CT | |
| 0198056 | Medicaid | NJ | |
| 79972896 | Medicaid | NM | |
| 1026200 | Medicaid | VT | |
| 3071425 | Medicaid | NH | |
| 4582324 | Medicaid | TN | |
| 119251500 | Medicaid | WY | |
| 5606991 | Medicaid | MT | |
| 010082897 | Medicaid | VA | |
| 03478309 | Medicaid | MS | |
| 04322405 | Medicaid | NY | |
| 102650016 | Medicaid | ME | |
| 842915 | Medicaid | AZ |
Other providers in Oklahoma City, OK
- 100 Chiro Lewis Peck LLC
- 180 Medical, Inc.
- 1St Choice Home Health Care & Hospice, Inc
- 1St Choice Home Health Care & Hospice, Inc
- 1St Choice Pharmacy LLC
- 1St Choice Pharmacy LLC
All providers in Oklahoma City, OK · Durable Medical Equipment & Medical Supplies in Oklahoma
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.