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NPI Code Detail

MEDICARE: WASHINGTON UNIVERSITY

MEDICARE: WASHINGTON UNIVERSITY
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
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13837OTHERMOGHP MASTER VENDOR
2104DP9OTHERMOBLUE SHIELD
392215223OTHERILBLUE SHIELD
4673341OTHERMOAETNA HMO GROUP
524-01100OTHERMOUHC GROUP NUMBER
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7610916400OTHERMODEPARTMENT OF LABOR

General Provider Information

NPI Number : 1316987886
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON UNIVERSITY
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-273-0770
Fax Number :
Provider Business Practice Location Address
First Line : 660 S EUCLID AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-362-8542
Fax Number : 314-362-9557
Authorized Official
Title or Position : SENIOR DIRECTOR MANAGED CARE
Name : MS. CATHY L EGHIGIAN
Credential :
Telephone Number : 314-273-0770
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/25/2025

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1528005642 — WASHINGTON UNIVERSITY
Practice Location Address:
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Practice Fax: 314-286-1051

Directions to “WASHINGTON UNIVERSITY ” Practice Location

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