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NPI 1679866768

OrganizationActive

180 Medical, Inc.

NPI 1679866768 · Durable Medical Equipment & Medical Supplies · Wood River, IL

Provider details

NPI number: 1679866768
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Jeffery Hendrix, Cfo
License: 203.001521 (IL)

Practice location

207 S 6th St

Wood River, IL 62095-2345

Phone: (618) 216-3300

Fax: (888) 718-0633

More IL providers

Mailing address

8516 Nw Expressway

Oklahoma City, OK 73162-6010

Registry dates

Enumerated: 2011-05-23
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.

180 Medical, Inc. — NPI 1679866768, Wood River, IL | NPI Central