Organization Active NPI

Fox Valley Medicine, LTD.

  • Health Maintenance Organization
  • Batavia, IL
National Provider Identifier
1316963929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FOX VALLEY MEDICINE, LTD.
Practice address
30 N Lincoln St
Batavia, IL 60510-1912
Phone
(630) 482-9701
Fax
(630) 482-9757
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn C White
Title
Chief Operating Officer
Phone
(630) 482-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X IL Primary

Addresses

Primary practice location

30 N Lincoln St
Batavia, IL 60510-1912

Mailing address

30 N Lincoln St
Batavia, IL 60510-1912
Phone (630) 482-9701

National Provider Directory

National Provider Directory

Locations

30 N Lincoln St
Batavia, IL 60510
Phone (630) 482-9701

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316963929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N LINCOLN ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101912",
            "telephone_number": "630-482-9701",
            "fax_number": "630-482-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N LINCOLN ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101912",
            "telephone_number": "630-482-9701",
            "fax_number": "630-482-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-482-9701"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.