180 Medical, Inc.

LBN: 180 Medical, Inc.
180 Medical, Inc. is an health care organization with primary practice located at 717 Atando Ave Suite J, Charlotte NC 28206-1915. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. 180 Medical, Inc. can be contacted via phone (980) 207-1156, or through Hendrix, Jeffery B via phone (405) 443-2985.

Contact Information

Primary practice address
717 Atando Ave Suite J Charlotte NC 28206-1915
Phone: (980) 207-1156
Fax: (888) 718-0633
Website:
Map and Directions
Authorized official contact:
Name: Hendrix, Jeffery B
Phone: (405) 443-2985

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 02000 North Carolina
Suppliers / Customized Equipment 332BC3200X 02000 North Carolina

Profile Details

NPI number 1265760920
LBN Legal business name 180 Medical, Inc.
DBA Doing business as
Authorized official Hendrix, Jeffery B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2009
Last updated May 18th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265760920 NPPES
South Carolina MEDICAID DE2916
South Carolina MEDICAID 7705118

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