1891834651 NPI number — FOX WORLD MEDICAL CORPORATION

Table of content: (NPI 1891834651)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891834651 NPI number — FOX WORLD MEDICAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOX WORLD MEDICAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891834651
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1985 W APACHE TRL
Provider Second Line Business Mailing Address:
SUITE 4
Provider Business Mailing Address City Name:
APACHE JUNCTION
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85220-3785
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-924-1441
Provider Business Mailing Address Fax Number:
480-924-1171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1985 W APACHE TRL
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
APACHE JUNCTION
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85220-3785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-924-1441
Provider Business Practice Location Address Fax Number:
480-924-1171
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FOX
Authorized Official First Name:
CHRISTINA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
480-212-2689

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  20146588 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 183081 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com