OrganizationActive
180 Medical, Inc.
NPI 1063749042 · Durable Medical Equipment & Medical Supplies · Shreveport, LA
Provider details
- NPI number
- 1063749042
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Jeffery Hendrix, Cfo
- License
- DME.000354 (LA)
Practice location
1520 N Hearne Ave
Suite 112
Shreveport, LA 71107-7155
Phone: (318) 798-4977
Fax: (888) 718-0633
Mailing address
8516 Nw Expressway
Oklahoma City, OK 73162-6010
Registry dates
- Enumerated
- 2009-11-11
- Last updated
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.