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WASHINGTON UNIVERSITY NPI 1871521575


NPI Information

NPI: 1871521575
Provider Name: WASHINGTON UNIVERSITY

Other Name: FOREST PARK KIDNEY CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4205 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 286-0842
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WASHINGTON UNIVERSITY is an end-stage renal disease (esrd) treatment clinic center in Saint Louis, MO. WASHINGTON UNIVERSITY NPI is 1871521575. The provider is registered as an organization entity type.
The provider Other Name Is Forest Park Kidney Center.

The provider's business location address is:

4205 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108-810
Phone: (314) 286-0842

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 enumeration date for this NPI number is 6/29/2006 and was last updated on 12/30/2015.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1262565MEDICARE OSCAR/CERTIFICATIONMISSOURI
2500724208MEDICAIDMISSOURI

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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