Provider Demographics
NPI:1134330939
Name:FOXX TRANSPORTATION
Entity Type:Organization
Organization Name:FOXX TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-725-0422
Mailing Address - Street 1:620 E SMITH RD
Mailing Address - Street 2:SUITE W-10
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-2692
Mailing Address - Country:US
Mailing Address - Phone:330-725-0422
Mailing Address - Fax:330-725-1002
Practice Address - Street 1:620 E SMITH RD
Practice Address - Street 2:SUITE W-10
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2692
Practice Address - Country:US
Practice Address - Phone:330-725-0422
Practice Address - Fax:330-725-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1297338343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2573577Medicaid