Organization Active NPI

Fox Med-Equip Service Corp

  • Durable Medical Equipment & Medical Supplies
  • Collinsville, IL
National Provider Identifier
1487633921
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOX MED-EQUIP SERVICE CORP
Practice address
1832 Vandalia St
Collinsville, IL 62234-1490
Phone
(618) 345-0649
Fax
(618) 345-0694
NPI assigned
Jan 12, 2006
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Miss Lynette Michelle Kaman
Title
Ceo
Phone
(618) 345-0649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1832 Vandalia St
Collinsville, IL 62234-1490

Mailing address

1832 Vandalia St
Collinsville, IL 62234-1490
Phone (618) 345-0649

National Provider Directory

National Provider Directory

Locations

1400 W Main St
Marion, IL 62959
Phone (618) 997-9262

1909 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-0344

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1487633921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341490",
            "telephone_number": "618-345-0649",
            "fax_number": "618-345-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341490",
            "telephone_number": "618-345-0649",
            "fax_number": "618-345-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX MED-EQUIP SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "KAMAN",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-345-0649",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.