# ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558428235
- **Authorized official:** MRS. MAGGIE ILAGAN (MANAGER, PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (714) 870-3510

## Contact information

- **Practice address:** 2767 E IMPERIAL HWY, SECOND FLOOR, BREA, CA 92821-6713
- **Practice address phone:** (714) 870-3540
- **Practice address fax:** (714) 870-3525
- **Mailing address:** 101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
- **Mailing address phone:** (714) 992-3000
- **Mailing address fax:** (714) 870-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 060000173 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 05/04/2010
