Organization
ST JUDE CHILDRENS RESEARCH HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A. KEEL (SVP/CFO)
(901) 595-2916
Entity
Organization
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PLACE MS 0515, ST JUDE CHILDRENS RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-6863
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
0000000113
TN
3336C0002X
Clinic Pharmacy
843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443302
—
TN
Enumeration date
05/23/2005
Last updated
09/12/2018
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