St. Jude Mobile Health Clinic 1
LBN: St. Jude Hospital, Inc.
St. Jude Mobile Health Clinic 1 is an health care organization with primary practice located at 731 South Highland Avenue , Fullerton CA 92832. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
St. Jude Hospital, Inc. can be contacted via phone (714) 446-5100, or through Ross, Barry via phone (714) 992-3164.
Contact Information
Primary practice address
731 South Highland Avenue
Fullerton CA 92832
Phone: (714) 446-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 70906F | California |
Profile Details
| NPI number | 1386869907 |
|---|---|
| LBN Legal business name | St. Jude Hospital, Inc. |
| DBA Doing business as | St. Jude Mobile Health Clinic 1 |
| Authorized official | Ross, Barry Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Feb 27th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386869907 | NPPES |
| California | MEDICAID | CMM70906F |
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