Provider Demographics
NPI:1114970928
Name:FOX MED-EQUIP SERVICES, INC
Entity Type:Organization
Organization Name:FOX MED-EQUIP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-345-0649
Mailing Address - Street 1:1832 VANDALIA ST
Mailing Address - Street 2:PO BOX 668
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-4853
Mailing Address - Country:US
Mailing Address - Phone:618-345-0649
Mailing Address - Fax:618-345-0694
Practice Address - Street 1:1909 WENTZVILLE PKWY
Practice Address - Street 2:WENTZVILLE CROSSROADS MARKETPLACE
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3424
Practice Address - Country:US
Practice Address - Phone:636-327-0344
Practice Address - Fax:636-327-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0197800003Medicare NSC