Provider Demographics
NPI:1013957562
Name:WASHINGTON UNIVERSITY
Entity type:Organization
Organization Name:WASHINGTON UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
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 1:4901 FOREST PARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108
Practice Address - Country:US
Practice Address - Phone:314-362-3937
Practice Address - Fax:314-362-3725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
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
MO08-01999OtherUHC GROUP NUMBER
MO673341OtherAETNA HMO GROUP
MO552919508Medicaid
MO0062375OtherSPECIAL HEALTH CARE NEEDS
MO610916400OtherDEPARTMENT OF LABOR
MO108RP6OtherBLUE SHIELD BILLING CODE
MO3697OtherGHP MASTER VENDOR
IL92215217OtherBLUE SHIELD GROUP
MOCU0331Medicare PIN
MO08-01999OtherUHC GROUP NUMBER
MO000010103Medicare PIN
MO552919508Medicaid
MO0062375OtherSPECIAL HEALTH CARE NEEDS
MOCD6915Medicare PIN
MOCQ2042Medicare PIN
IL205475Medicare PIN