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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
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 |
Street Address |
1612 N ROCKY CREEK RD |
City | WICHITA |
State | KS |
Zip Code | 67230-1720 |
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 Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
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 |
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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.