Organization Name: | ST JUDE HOSPITAL YORBA LINDA |
NPI Number: | 1205131950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BENNETT (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 1100 Trancas St Suite 209 Napa |
State: | CA US |
Postal Code: | 945582900 |
Phone Number: | 7072511850 |
Fax Number: | 7072261502 |
NPI Enumeration Date: | 01/11/2011 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |