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ST. JUDE NEIGHBORHOOD HEALTH CENTERS NPI 1568021772


NPI Information

NPI: 1568021772
Provider Name: ST. JUDE NEIGHBORHOOD HEALTH CENTERS

Other Name: LA AMISTAD MOBILE MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
353 S MAIN ST
ORANGE, CA
ZIP 92868
Phone: (714) 771-8006
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ST. JUDE NEIGHBORHOOD HEALTH CENTERS is a primary care clinic center in Orange, CA. ST. JUDE NEIGHBORHOOD HEALTH CENTERS NPI is 1568021772. The provider is registered as an organization entity type.
The provider Other Name Is La Amistad Mobile Medical.

The provider's business location address is:

353 S MAIN ST
ORANGE, CA
ZIP 92868-833
Phone: (714) 771-8006

The provider's authorized official is Timothy Jason Brown .
The authorized official title is Chief Executive Officer and has the following contact phone number (208) 899-9631.

The enumeration date for this NPI number is 6/11/2019 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
1261QP2300XClinic/CenterPrimary CareYes

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.