ST JUDE MEDICAL


Address: 1612 N Rocky Creek Rd, Wichita, KS 67230-1720
Phone: 3166489961

ST JUDE MEDICAL (NPI# 1295123131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295123131
Entity Type Organization
Organization Name ST JUDE MEDICAL
Practice Address 1612 N Rocky Creek Rd
Wichita
KS 67230-1720
Practice Telephone 3166489961
Practice Fax Number 3167339994
Mailing Telephone 3166489961
Mailing Fax Number 3167339994
Enumeration Date 2014-12-30
Last Update Date 2014-12-30
Authorized Official Name MARK R SCHULTE (SALES)
Authorized Official Telephone 3166489961
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ST JUDE MEDICAL CENTER PURCHASING DEPT 101 East Valencia Mesa Dr, Fullerton, CA 92835-3809

Office Location

Street Address 1612 N ROCKY CREEK RD
City WICHITA
State KS
Zip Code 67230-1720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043468051 Charles W Grauel Anesthesiology 14821 Sharon Lane, Wichita, KS 67230 2008-09-03
1205933686 Gregory S. Linhardt Anesthesiology 1701 Rocky Glen, Wichita, KS 67230 2006-09-20
1437127123 David Rosen Specialist 24 Sandpiper Ct., Wichita, KS 67230 2006-03-09
1871821876 Richard J Cummings Otolaryngology 1258 Burning Tree Drive, Wichita, KS 67230-1410 2009-12-02
1588101232 True Home Care In Home Supportive Care 12828 E 13th St N, Wichita, KS 67230-1465 2017-01-19
1407237084 Trey Anderson Dentist 700 N Preston Trl, Wichita, KS 67230-1505 2015-06-09
1609940675 Wayne Mason Radiology 701 N Preston Trl, Wichita, KS 67230-1525 2006-11-20
1477799260 The Wound Nurse, LLC Durable Medical Equipment & Medical Supplies 716 N Saint Andrews St, Wichita, KS 67230-1531 2008-12-28
1346841749 Mick Emerson Harris Specialist/Technologist 523 N Birkdale Ct, Wichita, KS 67230-1532 2020-11-03
1033325626 Laurie Hughey Speech-Language Pathologist 3 E Stonebridge Cir, Wichita, KS 67230-1560 2007-05-14
Find all providers in zip 67230

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

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’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285292995 Titan Durable Medical Supply, LLC Durable Medical Equipment & Medical Supplies 1409 W 31st St S, Wichita, KS 67217-2503 2019-05-29
1942767447 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 9415 E Harry St Ste P1, Wichita, KS 67207-5089 2019-02-21
1508339078 Great Plains Dme, LLC Durable Medical Equipment & Medical Supplies 926 W Harry St, Wichita, KS 67213-4109 2019-01-08
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1922515469 Auburn Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 5318 W Central Ave, Wichita, KS 67212-2455 2018-01-05
1356860126 Strive Medical LLC Durable Medical Equipment & Medical Supplies 727 N Waco Ave Ste 560, Wichita, KS 67203-3986 2017-09-13
1215474085 Case Baldwin Healthcare Systems, Inc. Durable Medical Equipment & Medical Supplies 125 S West St Ste 121, Wichita, KS 67213-2114 2017-01-31
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1265829055 Total Solutions Rx, Inc Durable Medical Equipment & Medical Supplies 217 S Pattie Ave, Wichita, KS 67211-1720 2015-04-20
1528468105 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 2014-09-02
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67230

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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