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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
120-01999OTHERMOUHC GROUP NUMBER
23599OTHERMOGHP MASTER VENDOR NUMBER
3673341OTHERMOAETNA HMO GROUP NUMBER
4103DP2OTHERMOBLUESHIELDBILLINGCODE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
60001741OTHERMOMOSPECIALHEALTHCARENEEDS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8610916400OTHERMODEPT OF LABOR NUMBER
992215218OTHERILIL BLUE SHIELD NUMBER

General Provider Information

NPI Number : 1528005642
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 : 314-273-0770
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 : 314-286-1045
Fax Number : 314-286-1051
Authorized Official
Title or Position : SR. DIRECTOR MANAGED CARE
Name : MS. CATHY L EGHIGIAN
Credential :
Telephone Number : 314-273-0770
Provider Enumeration Date : 05/31/2006
Last Update Date : 04/11/2025

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1316987886 — WASHINGTON UNIVERSITY
Practice Location Address:
660 S EUCLID AVE
SAINT LOUIS, MO
63110-1010
Practice Phone: 314-362-8542
Practice Fax: 314-362-9557

Directions to “WASHINGTON UNIVERSITY ” Practice Location

Language Start Address Practice Location
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