WASHINGTON UNIVERSITY SCHOOL OF MEDICINE (NPI# 1902834609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902834609 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Other Organization Name | FARMINGTON DIALYSIS CENTER |
| Practice Address |
201 North A St Farmington MO 63640 |
| Mailing Address |
7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 |
| Practice Telephone | 5737608040 |
| Mailing Telephone | 3149350770 |
| Mailing Fax Number | 3149350575 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Telephone | 3149350770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Farmington Dialysis Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830640 | Washington University School of Medicine | Clinic/Center | 4921 Parkview Pl Lowr Level, Center for Advanced Medicine, Saint Louis, MO 63110-1032 | 2010-09-07 |
| 1962632257 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 1 Childrens Pl, Ste A, Saint Louis, MO 63110-1002 | 2009-07-21 |
| 1891932307 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 4921 Parkview Pl, Suite 11c, Saint Louis, MO 63110-1032 | 2009-01-21 |
| 1972793412 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-07-31 |
| 1144410689 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-07-31 |
| 1396935839 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2007-07-31 |
| 1831389386 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-07-31 |
| 1487844924 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2007-07-31 |
| 1306036843 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2007-07-31 |
| 1609066141 | Washington University School of Medicine | Durable Medical Equipment & Medical Supplies | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2007-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE | 1brookings Dr, Saint Louis, MO 63130-4862 |
| Street Address |
201 NORTH A ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866108 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 | 2020-09-18 |
| 1306499405 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 4525 Rowe Ave, Farmington, NM 87402-3013 | 2019-07-18 |
| 1588990303 | Total Renal Care Inc | Clinic/Center | 649 Maple Valley Dr, Farmington, MO 63640-1993 | 2009-10-29 |
| 1952320194 | Dialysis Clinic Inc. | Clinic/Center | 270 Farmington Ave Ste 160, Farmington, CT 06032 | 2006-07-19 |
| 1457392789 | Nra Farmington Missouri LLC | Clinic/Center | 1370 W Liberty St, Farmington, MO 63640-1947 | 2006-06-09 |
| 1063477727 | Trc - Four Corners Dialysis Clinics LLC | Clinic/Center | 801 W Broadway, Farmington, NM 87401-5650 | 2006-04-18 |
| 1174882393 | Total Renal Care Inc | Clinic/Center | 11 South Rd, Ste 110, Farmington, CT 06032-2483 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1902415284 | Fresenius Medical Care Creve Coeur Home Therapies, LLC | Clinic/Center | 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 | 2020-07-23 |
| 1730716085 | Fresenius Medical Care Creve Coeur, LLC | Clinic/Center | 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 | 2020-03-26 |
| 1285109041 | Branson Kidney Center LLC | Clinic/Center | 17829 Bus 13, Branson West, MO 65737 | 2018-10-09 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1851892731 | Sparda Dialysis LLC | Clinic/Center | 40 Walters Pl, House Springs, MO 63051-1491 | 2018-02-26 |
| 1063923753 | Isd Renal Inc | Clinic/Center | 1702 E 10th St Ste C, Rolla, MO 65401-4600 | 2017-10-20 |
| 1063923977 | Total Renal Care Inc | Clinic/Center | 802 Jules St, St Joseph, MO 64501-1944 | 2017-10-18 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on WASHINGTON UNIVERSITY SCHOOL OF MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.