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180 MEDICAL INC. NPI 1063749042


NPI Information

NPI: 1063749042
Provider Name: 180 MEDICAL, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1520 N HEARNE AVE
SUITE 112
SHREVEPORT, LA
ZIP 71107
Phone: (318) 798-4977
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180 MEDICAL, INC. is a durable medical equipment medical supplies in Shreveport, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. 180 MEDICAL, INC. NPI is 1063749042. The provider is registered as an organization entity type.

The provider's business location address is:

1520 N HEARNE AVE
SUITE 112
SHREVEPORT, LA
ZIP 71107-155
Phone: (318) 798-4977
Fax: (888) 718-0633

The provider's authorized official is Jeffery B Hendrix .
The authorized official title is Cfo and has the following contact phone number (405) 443-2985.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 5/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesDME.000354LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11016501MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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