Provider Demographics
NPI:1093508038
Name:COX MEDICAL CLINICS
Entity type:Organization
Organization Name:COX MEDICAL CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:909-802-6095
Mailing Address - Street 1:1579 W GURLEY ST STE A-39
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-2829
Mailing Address - Country:US
Mailing Address - Phone:928-440-2080
Mailing Address - Fax:928-440-8141
Practice Address - Street 1:1579 W GURLEY ST STE A-39
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-2829
Practice Address - Country:US
Practice Address - Phone:928-440-2080
Practice Address - Fax:928-440-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center