Provider Demographics
NPI:1891834651
Name:FOX WORLD MEDICAL CORPORATION
Entity type:Organization
Organization Name:FOX WORLD MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:480-212-2689
Mailing Address - Street 1:1985 W APACHE TRL
Mailing Address - Street 2:SUITE 4
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85220-3785
Mailing Address - Country:US
Mailing Address - Phone:480-924-1441
Mailing Address - Fax:480-924-1171
Practice Address - Street 1:1985 W APACHE TRL
Practice Address - Street 2:SUITE 4
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85220-3785
Practice Address - Country:US
Practice Address - Phone:480-924-1441
Practice Address - Fax:480-924-1171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20146588332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ183081Medicaid
AZ5944560001Medicare NSC