Provider Demographics
NPI:1861806911
Name:SAINT THOMAS HEALTH
Entity type:Organization
Organization Name:SAINT THOMAS HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, SAINT THOMAS HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-222-5898
Mailing Address - Street 1:300 20TH AVE N STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5179
Mailing Address - Country:US
Mailing Address - Phone:615-284-6170
Mailing Address - Fax:615-284-6171
Practice Address - Street 1:300 20TH AVE N STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5179
Practice Address - Country:US
Practice Address - Phone:615-284-6170
Practice Address - Fax:615-284-6171
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT THOMAS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-17
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000053983336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ033353Medicaid