Provider Demographics
NPI:1356381842
Name:WASHINGTON UNIVERSITY
Entity type:Organization
Organization Name:WASHINGTON UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR MANAGED CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:EGHIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-273-0770
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-273-0770
Mailing Address - Fax:
Practice Address - Street 1:660 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1010
Practice Address - Country:US
Practice Address - Phone:314-996-3845
Practice Address - Fax:314-362-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO673341OtherAETNA HMO GROUP
MO552944902Medicaid
MO0001732OtherSPECIAL HEALTH CARE NEEDS
MO0255860008OtherDME MEDICARE GROUP
MO10-01999OtherUHC GROUP NUMBER
MO3809OtherGHP MASTER VENDOR
MO552944902OtherMEDICAID PHARMACY NUMBER
MO610916400OtherDEPARTMENT OF LABOR
MO108RP5OtherBLUE SHIELD BILLING CODE
IL92209439OtherBLUE SHIELD
MO0001732OtherSPECIAL HEALTH CARE NEEDS
IL205475Medicare PIN
MO108RP5OtherBLUE SHIELD BILLING CODE
MO3809OtherGHP MASTER VENDOR
MO0255860008OtherDME MEDICARE GROUP
MO552944902OtherMEDICAID PHARMACY NUMBER