180 Medical, Inc.

LBN: 180 Medical, Inc.
180 Medical, Inc. is an health care organization with primary practice located at 1520 N Hearne Ave Suite 112, Shreveport LA 71107-7155. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. 180 Medical, Inc. can be contacted via phone (318) 798-4977, or through Hendrix, Jeffery B via phone (405) 443-2985.

Contact Information

Primary practice address
1520 N Hearne Ave Suite 112 Shreveport LA 71107-7155
Phone: (318) 798-4977
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 DME.000354 Louisiana

Profile Details

NPI number 1063749042
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 11th, 2009
Last updated May 18th, 2022 - about 3 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 1063749042 NPPES
Louisiana MEDICAID 1016501

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