Provider Demographics
NPI:1356382527
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:314-362-3282
Practice Address - Fax:314-362-4124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
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
IL92215222OtherIL BLUE SHIELD
MO552914301OtherMEDICAID PHARMACY NUMBER
MO673341OtherAETNA HMO GROUP
MO05-01999OtherUHC GROUP NUMBER
MO0125610OtherSPECIAL HEALTH CARE NEEDS
MO552914301Medicaid
MO3687OtherGHP MASTER VENDOR NUMBER
MOCI9342Medicare PIN
MO552914301OtherMEDICAID PHARMACY NUMBER
MO3687OtherGHP MASTER VENDOR NUMBER
MOCS9279Medicare PIN
MOCR0454Medicare PIN
MOCU0429Medicare PIN
MO673341OtherAETNA HMO GROUP
MO552914301Medicaid
MO000010253Medicare PIN