Organization
WASHINGTON UNIVERSITY
Active
Organization
WASHINGTON UNIVERSITY
Active
Other names
Washington University, Dept of Internal Medicine
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) 747-5192
(314) 286-1021
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
—
3688
GHPMASTERVENDORNUMBER
MO
05
—
552927808
—
MO
05
—
603025305
—
MO
01
—
673341
AETNAHMOGROUP
MO
01
—
92215194
BLUECROSS/BLUESHIELD-IL
IL
Enumeration date
06/09/2006
Last updated
04/25/2025
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