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ST JUDE MEDICAL SUPPLY NPI 1376113068


NPI Information

NPI: 1376113068
Provider Name: ST JUDE MEDICAL SUPPLY

Former Legal Business Name: ST. JUDE MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3900 MERTON DR STE 130
RALEIGH, NC
ZIP 27609
Phone: (984) 242-4742
Get Directions

ST JUDE MEDICAL SUPPLY is a durable medical equipment medical supplies in Raleigh, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST JUDE MEDICAL SUPPLY NPI is 1376113068. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. Jude Medical Supply.

The provider's business location address is:

3900 MERTON DR STE 130
RALEIGH, NC
ZIP 27609-636
Phone: (984) 242-4742

The provider's authorized official is Jude Nwaodu .
The authorized official title is President and has the following contact phone number (919) 618-8033.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 1/11/2023.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 4/28/2024

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