Provider Demographics
NPI:1528005642
Name:WASHINGTON UNIVERSITY
Entity type:Organization
Organization Name:WASHINGTON UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. 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:314-273-0770
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:314-286-1045
Practice Address - Fax:314-286-1051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20-01999OtherUHC GROUP NUMBER
MO3599OtherGHP MASTER VENDOR NUMBER
MO673341OtherAETNA HMO GROUP NUMBER
MO103DP2OtherBLUESHIELDBILLINGCODE
MO552944803Medicaid
MO0001741OtherMOSPECIALHEALTHCARENEEDS
MO1528005642Medicaid
MO610916400OtherDEPT OF LABOR NUMBER
IL92215218OtherIL BLUE SHIELD NUMBER
IL205475Medicare PIN
MO103DP2OtherBLUESHIELDBILLINGCODE
MO610916400OtherDEPT OF LABOR NUMBER
IL92215218OtherIL BLUE SHIELD NUMBER
MO0001741OtherMOSPECIALHEALTHCARENEEDS