ST. LOUIS JC VAMC NPI 1083654453

NPI Information

NPI: 1083654453
Provider Name: ST. LOUIS JC VAMC

Other Name: ST. CHARLES VA CBOC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
844 WATERBURY FALLS DR
O FALLON, MO
ZIP 63368
Phone: (913) 578-4409
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ST. LOUIS JC VAMC is a va clinic center in O Fallon, MO. ST. LOUIS JC VAMC NPI is 1083654453. The provider is registered as an organization entity type.
The provider Other Name Is St. Charles Va Cboc.

The provider's business location address is:

844 WATERBURY FALLS DR
O FALLON, MO
ZIP 63368-215
Phone: (913) 578-4409

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 26D0987312 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 1/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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