Provider Demographics
NPI:1225550031
Name:SAINT THOMAS HEALTH
Entity Type:Organization
Organization Name:SAINT THOMAS HEALTH
Other - Org Name:ASCENSION RX 1206
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SAINT THOMAS HOSPITAL
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-284-6845
Mailing Address - Street 1:150 EAST SWAN STREET
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37033
Mailing Address - Country:US
Mailing Address - Phone:931-729-6798
Mailing Address - Fax:931-729-6799
Practice Address - Street 1:150 EAST SWAN STREET
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37033
Practice Address - Country:US
Practice Address - Phone:931-729-6798
Practice Address - Fax:931-729-6799
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT THOMAS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-13
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ046093Medicaid