Provider Demographics
NPI:1942540208
Name:WASHINGTON AND LEE UNIVERSITY
Entity Type:Organization
Organization Name:WASHINGTON AND LEE UNIVERSITY
Other - Org Name:WASHINGTON AND LEE STUDENT HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VP/FINANCE AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-458-8942
Mailing Address - Street 1:204 W WASHINGTON ST
Mailing Address - Street 2:STUDENT HEALTH CENTER/DAVIS RESIDENCE HALL
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2116
Mailing Address - Country:US
Mailing Address - Phone:540-458-8401
Mailing Address - Fax:540-458-8404
Practice Address - Street 1:204 W WASHINGTON ST
Practice Address - Street 2:STUDENT HEALTH CENTER/DAVIS RESIDENCE HALL
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2116
Practice Address - Country:US
Practice Address - Phone:540-458-8401
Practice Address - Fax:540-458-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health