Healthcare Provider Details

I. General information

NPI: 1598720237
Provider Name (Legal Business Name): WEBSTER UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 E LOCKWOOD AVE HEALTH SERVICES
SAINT LOUIS MO
63119-3141
US

IV. Provider business mailing address

470 E LOCKWOOD AVE HEALTH SERVICES
SAINT LOUIS MO
63119-3141
US

V. Phone/Fax

Practice location:
  • Phone: 314-968-6922
  • Fax: 314-963-6099
Mailing address:
  • Phone: 314-968-6922
  • Fax: 314-963-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN M DAILY
Title or Position: DIRECTOR
Credential: RN-BCS
Phone: 314-968-6922