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ST JUDE MEDICAL CENTER CORP
NPI 1760038350
General Practice in Albuquerque, NM

Active since August 10, 2019
400 GOLD AVE SW STE 220, ALBUQUERQUE, NM 87102(682) 309-8936 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2019, Aug 10, 2019 (2 updates tracked since 2019).

About St Jude Medical Center Corp NPPES

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

ST JUDE MEDICAL CENTER CORP (NPI 1760038350) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since August 2019. The organization lists Uyama A Fernandez, President, as its authorized official.

NPPES Registry Identity

NPI1760038350
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST JUDE MEDICAL CENTER CORP
Location Address400 GOLD AVE SW STE 220Albuquerque, NM 87102-3278
Mailing Address400 Gold Ave Sw Ste 220Albuquerque, NM 87102-3278 · (682) 309-8936
Phone(682) 309-8936
Organization SubpartNo
Authorized OfficialUyama A FernandezPresident · (682) 309-8936
Enumeration DateAugust 10, 2019
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1760038350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
400 GOLD AVE SW STE 220, Albuquerque, NM 87102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PA HEALTH CARE INC
General Practice
400 GOLD AVE SW STE 220
ALBUQUERQUE, NM 87102
Bernalillo County (505) 261-5184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Jude Medical Center Corp's NPI number?

The NPI number for St Jude Medical Center Corp is 1760038350. It was assigned to this organization in the NPPES registry on August 10, 2019.

Where is St Jude Medical Center Corp located?

St Jude Medical Center Corp is located at 400 Gold Ave SW Ste 220, Albuquerque, NM 87102. The listed phone number is (682) 309-8936.

What is St Jude Medical Center Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for St Jude Medical Center Corp was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.