180 Medical, Inc.

LBN: 180 Medical, Inc.
180 Medical, Inc. is an health care organization with primary practice located at N8W22195 Johnson Dr Suite 100, Waukesha WI 53186. 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 (262) 349-9060, or through Hendrix, Jeffery B via phone (405) 443-2985.

Contact Information

Primary practice address
N8W22195 Johnson Dr Suite 100 Waukesha WI 53186
Fax: (888) 718-0633
Website:
Authorized official contact:
Name: Hendrix, Jeffery B

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1902134570
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 19th, 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 1902134570 NPPES
Wisconsin MEDICAID 41576600

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