Provider Demographics
NPI:1063578334
Name:SAINT THOMAS WEST HOSPITAL
Entity type:Organization
Organization Name:SAINT THOMAS WEST HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-222-5898
Mailing Address - Street 1:4230 HARDING PIKE
Mailing Address - Street 2:STE A 214
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2013
Mailing Address - Country:US
Mailing Address - Phone:615-222-6216
Mailing Address - Fax:615-222-6189
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:STE A 214
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-222-6216
Practice Address - Fax:615-222-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TN1193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2088737OtherPK
TN1452144Medicaid
0488400001Medicare NSC