180 Medical, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Albuquerque, NM
NPI 1831563238 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1831563238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 180 MEDICAL, INC.
- Practice address
- 5620 San Francisco Rd NE Ste a
Albuquerque, NM 87109-4656 - Phone
- (505) 340-2949
- Fax
- (888) 718-0633
- NPI assigned
- Nov 23, 2015
- 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 NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161222000613 | NM | DME Supplier - Medical Supply Company | 7810101920 | Practice locations: Albuquerque, NM |
National Provider Directory
- Tax ID family
- 180 Medical Inc
Locations
5620 San Francisco Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 340-2949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
5620 San Francisco Rd NE Ste a
Albuquerque, NM 87109-4656
Mailing address
8516 NW Expressway
Oklahoma City, OK 73162-6010
Phone (877) 688-2729
Other providers in Albuquerque, NM
- 101 Therapy LLC
- 10101 Lagrima de Oro Road Opco, LLC
- 103 Hospital Loop NE Opco, LLC
- 11.11, LLC
- 1918 Winter Street Operating Co LLC
- 1918 Winter Street Operating Co LLC
- 1918 Winter Street Operating Co LLC
- 1918 Winter Street Operating Co LLC
- 1Era Opcion Home Care, LLC
All providers in Albuquerque, NM · Durable Medical Equipment & Medical Supplies in New Mexico
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.