Provider Demographics
NPI:1184631822
Name:A FOX BUSINESS ASSOCIATE INC
Entity Type:Organization
Organization Name:A FOX BUSINESS ASSOCIATE INC
Other - Org Name:ALMA'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-782-8189
Mailing Address - Street 1:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92556-1013
Mailing Address - Country:US
Mailing Address - Phone:480-773-8616
Mailing Address - Fax:480-445-9790
Practice Address - Street 1:1256 W CHANDLER BLVD
Practice Address - Street 2:UNIT 28
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5207
Practice Address - Country:US
Practice Address - Phone:480-782-8189
Practice Address - Fax:480-445-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5402570001Medicare NSC