Provider Demographics
NPI:1164214474
Name:FOXMAR, INC
Entity type:Organization
Organization Name:FOXMAR, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH AND WELLNESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-444-1809
Mailing Address - Street 1:1480 SNELLING AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-2344
Mailing Address - Country:US
Mailing Address - Phone:651-444-1809
Mailing Address - Fax:
Practice Address - Street 1:1480 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-2344
Practice Address - Country:US
Practice Address - Phone:651-444-1822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDUCATION AND TRAINING RESOURCES FOR HUBERT HUMPHREY JCC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-21
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service