ST JUDE CHILDRENS RESEARCH HOSPITAL INC NPI 1033112230

NPI Information

NPI: 1033112230
Provider Name: ST JUDE CHILDRENS RESEARCH HOSPITAL INC
Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

CLIA Number: 44D1055149

Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3300
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ST JUDE CHILDRENS RESEARCH HOSPITAL INC is a children general acute care hospital in Memphis, TN. ST JUDE CHILDRENS RESEARCH HOSPITAL INC NPI is 1033112230. The provider is registered as an organization entity type.

The provider's business location address is:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3300

The provider's authorized official is Patricia A. Keel .
The authorized official title is Svp/cfo and has the following contact phone number (901) 595-2916.

The CLIA number assigned to this NPI record is 44D1055149 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 9/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	843	TENNESSEE	No
2	282NC2000X	General Acute Care Hospital	Children	0000000113	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	443302	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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