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ST. JUDE HOSPITAL INC. DBA ST. JUDE MEDICAL CENTER NPI 1558428235


NPI Information

NPI: 1558428235
Provider Name: ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 05D0576616

Address:
2767 E IMPERIAL HWY
SECOND FLOOR
BREA, CA
ZIP 92821
Phone: (714) 870-3540
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ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER is a general acute care hospital in Brea, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER NPI is 1558428235. The provider is registered as an organization entity type.

The provider's business location address is:

2767 E IMPERIAL HWY
SECOND FLOOR
BREA, CA
ZIP 92821-713
Phone: (714) 870-3540
Fax: (714) 870-3525

The provider's authorized official is Maggie Ilagan .
The authorized official title is Manager, Patient Financial Services and has the following contact phone number (714) 870-3510.

The CLIA number assigned to this NPI record is 05D0576616 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 5/4/2010.


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
1282N00000XGeneral Acute Care Hospital060000173CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZT40168FMEDICAIDCALIFORNIA
2ZZT30168FMEDICAIDCALIFORNIA
3HSC30168FMEDICAIDCALIFORNIA
4BT702AMEDICARE OSCAR/CERTIFICATIONCALIFORNIA
5M050168MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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