Healthcare Provider Details

I. General information

NPI: 1891834651
Provider Name (Legal Business Name): FOX WORLD MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 W APACHE TRL SUITE 4
APACHE JUNCTION AZ
85220-3785
US

IV. Provider business mailing address

1985 W APACHE TRL SUITE 4
APACHE JUNCTION AZ
85220-3785
US

V. Phone/Fax

Practice location:
  • Phone: 480-924-1441
  • Fax: 480-924-1171
Mailing address:
  • Phone: 480-924-1441
  • Fax: 480-924-1171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number20146588
License Number StateAZ

VIII. Authorized Official

Name: CHRISTINA M FOX
Title or Position: PRESIDENT
Credential: MBA
Phone: 480-212-2689