Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Other names
St. Jude Neighborhood Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER)
(208) 899-9631
Entity
Organization
Contact information
Practice address
731 S HIGHLAND AVE, FULLERTON, CA 92832-2753
(714) 446-5100
(714) 449-0726
Mailing address
731 S HIGHLAND AVE, FULLERTON, CA 92832-2753
(714) 446-5100
(714) 449-0726
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
06/17/2020
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