NPIMap

Organization Active NPI

St. Jude Renal Care Facility, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
National Provider Identifier
1093769739
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ST. JUDE RENAL CARE FACILITY, INC.
Practice address
Kulot Di Rosa Dr., Chalan Kiya
Saipan Health Clinic Building
Saipan, MP 96950-2878
Phone
(670) 234-2901
Fax
(670) 234-2906
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jesse Sablan
Title
Admin. / It Assistant
Phone
(670) 234-2901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X MP Primary

Addresses

Primary practice location

Kulot Di Rosa Dr., Chalan Kiya
Saipan Health Clinic Building
Saipan, MP 96950-2878

Mailing address

PO Box 502878
Saipan, MP 96950-2878
Phone (670) 234-2901

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1093769739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502878",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502878",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KULOT DI ROSA DR., CHALAN KIYA",
            "address_2": "SAIPAN HEALTH CLINIC BUILDING",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502878",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE RENAL CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SABLAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMIN. / IT ASSISTANT",
        "authorized_official_telephone_number": "670-234-2901"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MP",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.