St. Jude Neighborhood Health Centers
Clinic/Center, Community Health in Santa Ana, CA. Organization (NPI-2).
NPI number1184092017
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1184092017
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Jude Neighborhood Health Centers
- Organization subpart
- No
- Enumeration date
- Sep 9, 2015
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | 550000408 | CA | Yes |
| 261QD0000X | Clinic/Center, Dental | 550000408 | CA |
Other names
- Valley High School Clinic (Other Name)
Practice location
1801 S Greenville StSanta Ana, CA 92704-4005
Phone 714-446-5100
Mailing address
731 S Highland AveFullerton, CA 92832-2753
Phone 714-446-5100
Authorized official
Timothy Jason Brown
Chief Executive Officer
2088999631
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All 11 Community Health Clinic/Center providers in Santa Ana · All 10,795 providers in Santa Ana
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