# ST JUDE HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence St. Jude Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891904942
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 2767 E IMPERIAL HWY, SECOND FLOOR, BREA, CA 92821-6713
- **Practice address phone:** (714) 870-3510
- **Practice address fax:** (714) 870-3525
- **Mailing address:** PO BOX 31001-3017, PASADENA, CA 91110-3017

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 05/09/2025