ST JUDE HOSPITAL INC NPI 1942404165

NPI Information

NPI: 1942404165
Provider Name: ST JUDE HOSPITAL INC

Doing Business As: PROVIDENCE ST. JUDE MEDICAL CENTER

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization
Address:
101 E VALENCIA MESA DR
FULLERTON, CA
ZIP 92835
Phone: (714) 992-3000
Get Directions

ST JUDE HOSPITAL INC is a rehabilitation hospital in Fullerton, CA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. ST JUDE HOSPITAL INC NPI is 1942404165. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St. Jude Medical Center.

The provider's business location address is:

101 E VALENCIA MESA DR
FULLERTON, CA
ZIP 92835-809
Phone: (714) 992-3000
Fax: (714) 870-3525

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 12/1/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283X00000X	Rehabilitation Hospital		060000173	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZT30468F	MEDICAID	CALIFORNIA
2	HSC30168F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »