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ST. JUDE NEIGHBORHOOD HEALTH CENTERS NPI 1235627563


NPI Information

NPI: 1235627563
Provider Name: ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
725 W LA VETA AVE STE 260
ORANGE, CA
ZIP 92868
Phone: (714) 771-8006
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ST. JUDE NEIGHBORHOOD HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Orange, CA. ST. JUDE NEIGHBORHOOD HEALTH CENTERS NPI is 1235627563. The provider is registered as an organization entity type.

The provider's business location address is:

725 W LA VETA AVE STE 260
ORANGE, CA
ZIP 92868-439
Phone: (714) 771-8006
Fax: (714) 774-8630

The provider's authorized official is Timothy Jason Brown .
The authorized official title is Chief Executive Officer and has the following contact phone number (714) 446-5230.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 6/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.