National Provider Identifier Database

ST JUDE CHILDRENS RESEARCH HOSPITAL INC
Children


Contact Information

ST JUDE CHILDRENS RESEARCH HOSPITAL INC
262 DANNY THOMAS PL
MEMPHIS, TN38105-3678
Phone: 901-595-3300
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ST JUDE CHILDRENS RESEARCH HOSPITAL INC

NPI Number 1033112230
Legal business name
LBN
ST JUDE CHILDRENS RESEARCH HOSPITAL INC
Authorized official PATRICIA KEEL - (SVP/CFO)
Entity Organization
Organization subpart No
Enumeration date 05/23/2005
Last updated 09/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000000113
  • TN License #: 843
  • TN Medicaid: 443302

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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