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

Q: What is St. Jude Hospital, Inc. Dba St. Jude Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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About St. Jude Hospital, Inc. Dba St. Jude Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER (NPI 1558428235) is a healthcare organization registered as a general acute care hospital in Brea, California and active in the NPI registry since January 2007. The organization lists Maggie Ilagan, Manager, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1558428235

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER

Location Address2767 E IMPERIAL HWY, SECOND FLOORBrea, CA 92821-6713

Mailing Address101 E Valencia Mesa DrFullerton, CA 92835-3809 · (714) 992-3000 · Fax (714) 870-3525

Phone(714) 870-3540

Fax(714) 870-3525

Organization SubpartNo

Authorized OfficialMaggie IlaganManager, Patient Financial Services · (714) 870-3510

Enumeration DateJanuary 2, 2007

Last NPPES UpdateMay 4, 2010

✔ NPI 1558428235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in CA · 060000173

Definition

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.

2767 E IMPERIAL HWY, Brea, CA 92821

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Other Identifiers 5

MedicaidZZT40168FCA

MedicaidZZT30168FCA

MedicaidHSC30168FCA

Medicare OSCAR/certificationBT702ACA

Medicare OSCAR/certificationM050168CA

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST JUDE HOSPITAL INC

Skilled Nursing Facility

2767 E IMPERIAL HWY, SECOND FLOOR
BREA, CA 92821

Orange County (714) 870-3510

DR. CORTLAND NOWLES WITHERSPOON DPT

Physical Therapist