MEDICARE: THE ST THOMAS EAST END MEDICAL CENTER CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP0904X	Federal Public Health Clinic/Center

General Provider Information

NPI Number	:	1891799763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ST THOMAS EAST END MEDICAL CENTER CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 503177
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00805-3177
Country	:	US
Telephone Number	:	340-775-3700
Fax Number	:	340-777-7927

Provider Business Practice Location Address
First Line	:	4605 TUTU PARK MALL
Second Line	:	SUITE 207
City	:	ST THOMAS
State	:	VI
Zip	:	00802
Country	:	US
Telephone Number	:	340-775-3700
Fax Number	:	340-777-7927

Authorized Official
Title or Position	:	INTERIM EXECUTIVE DIRECTOR
Name	:	MRS. TESS G RICHARDS
Credential	:	MD
Telephone Number	:	340-775-3700

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/31/2024

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