Active NPI
The St Thomas East End Medical Center Corporation
- Federal Public Health Clinic/Center
- St Thomas, VI
National Provider Identifier
1891799763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federal Public Health Clinic/Center
- Legal business name
- THE ST THOMAS EAST END MEDICAL CENTER CORPORATION
- Practice address
- 4605 Tutu Park Mall
Suite 207
St Thomas, VI 00802 - Phone
- (340) 775-3700
- Fax
- (340) 777-7927
- NPI assigned
- Jun 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tess G Richards, MD
- Title
- Interim Executive Director
- Phone
- (340) 775-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | Primary |
Addresses
Primary practice location
4605 Tutu Park Mall
Suite 207
St Thomas, VI 00802
Mailing address
PO Box 503177
St Thomas, VI 00805-3177
Phone (340) 775-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
Enrollment records 2
Federally qualified health center certification: CCN 481802
- Legal name
- THE ST THOMAS EAST END MEDICAL CENTER CORPORATION
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 2001
- Last certification
- Jan 1, 2001
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 27, 2000 in VI
- Enrollment address
- 4605 Tutu Park Mall
Ste 207
St Thomas, VI 8021736
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 48D1054249 | St Thomas East End Medical Center | Certificate of waiver | Jan 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
4605 Tutu Park Mall
Ste 207
St Thomas, VI 00802
Phone (340) 775-3700
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Francia Brin | Corporate Officer | Oct 1, 2014 | |
| Gloria B Callwood | Corporate Officer | Jan 21, 2006 | |
| Hans R Oriol | Corporate Officer | Oct 1, 2014 | |
| Carmen a White | Corporate Officer | Jan 21, 2006 | |
| Moleto a Smith | Corporate Director | Oct 1, 2014 | |
| W-2 Managing Employee | Oct 1, 2014 | ||
| Nyra N Stout | W-2 Managing Employee | Nov 16, 2022 | |
| Rene D Crawford | W-2 Managing Employee | Feb 23, 2015 |
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1891799763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503177",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008053177",
"telephone_number": "340-775-3700",
"fax_number": "340-777-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 TUTU PARK MALL",
"address_2": "SUITE 207",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-775-3700",
"fax_number": "340-777-7927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ST THOMAS EAST END MEDICAL CENTER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "TESS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "340-775-3700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.