Provider Demographics
NPI:1598720237
Name:WEBSTER UNIVERSITY
Entity Type:Organization
Organization Name:WEBSTER UNIVERSITY
Other - Org Name:WEBSTER UNIVERSITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAILY
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BCS
Authorized Official - Phone:314-968-6922
Mailing Address - Street 1:470 E LOCKWOOD AVE
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-3141
Mailing Address - Country:US
Mailing Address - Phone:314-968-6922
Mailing Address - Fax:314-963-6099
Practice Address - Street 1:470 E LOCKWOOD AVE
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-3141
Practice Address - Country:US
Practice Address - Phone:314-968-6922
Practice Address - Fax:314-963-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health