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WASHINGTON UNIVERSITY NPI 1013957562


NPI Information

NPI: 1013957562
Provider Name: WASHINGTON UNIVERSITY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D2149489

Address:
4901 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-3937
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WASHINGTON UNIVERSITY is a multi-specialty clinic center in Saint Louis, MO. WASHINGTON UNIVERSITY NPI is 1013957562. The provider is registered as an organization entity type.

The provider's business location address is:

4901 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-3937
Fax: (314) 362-3725

The provider's authorized official is Cathy Eghigian .
The authorized official title is Director, Credentialing Operations and has the following contact phone number (314) 273-0770.

The CLIA number assigned to this NPI record is 26D2149489 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1108RP6OTHERMISSOURIBLUE SHIELD BILLING CODE
2610916400OTHERMISSOURIDEPARTMENT OF LABOR
30062375OTHERMISSOURISPECIAL HEALTH CARE NEEDS
4552919508MEDICAIDMISSOURI
592215217OTHERILLINOISBLUE SHIELD GROUP
608-01999OTHERMISSOURIUHC GROUP NUMBER
73697OTHERMISSOURIGHP MASTER VENDOR
8673341OTHERMISSOURIAETNA HMO GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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