Organization
WASHINGTON UNIVERSITY
Active
Organization
WASHINGTON UNIVERSITY
Active
Other names
Washington University, Department of Pediatric Surgery, Washington University
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY L EGHIGIAN (SENIOR DIRECTOR MANAGED CARE)
(314) 273-0770
Entity
Organization
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-4964
(314) 747-4871
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-0770
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-09037
UHC GROUP NUMBER
MO
01
—
377
GHP MASTER VENDOR
MO
05
—
553061201
—
MO
01
—
610916400
DEPARTMENT OF LABOR
MO
01
—
6112358
SPECIAL HEALTH CARE NEEDS
MO
01
—
673341
AETNA HMO GROUP
MO
01
—
92215227
BLUE SHIELD
IL
Enumeration date
06/07/2006
Last updated
04/25/2025
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