DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC – NPI #1962344234
Clinic/Center

DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC is an AHC clinic located in FLORISSANT, MO. NPPES recently assigned the NPI number 1962344234 to DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC on April 07, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC below.

NPI Profile for
DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC

NPI Number
1962344234
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC
Primary location
272 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO 63033-8009
Phone: (314) 859-1234 Fax:
Mailing address
5200 VIRGINIA WAY
LICENSURE AND CERTIFICATION DEPT
BRENTWOOD, TN 37027-7569
Phone: Fax:
Organization Subpart
Yes - DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC is subpart of another organization.
Authorized Official
SAM WEY
VP, LICENSURE AND CERTIFICATION
Phone: (615) 341-6691
Updated
Certification Date
Apr 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.