Healthcare Provider Details

I. General information

NPI: 1205262581
Provider Name (Legal Business Name): WASHINGTON UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N NEW BALLAS RD STE 140
SAINT LOUIS MO
63141-6833
US

IV. Provider business mailing address

660 S EUCLID AVE CAMPUS BOX 8115
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-273-6317
  • Fax: 314-273-6674
Mailing address:
  • Phone: 314-362-8480
  • Fax: 314-362-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY EGHIGIAN
Title or Position: DIRECTOR MANAGED CARE CONTRACTING
Credential:
Phone: 314-935-0770