ST. LOUIS JC VAMC NPI 1902840622

NPI Information

NPI: 1902840622
Provider Name: ST. LOUIS JC VAMC

Other Name: MT. VERNON VA CLINIC

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

Specialization: VA

Address:
4000 S WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864
Phone: (913) 578-4409
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ST. LOUIS JC VAMC is a va clinic center in Mount Vernon, IL. ST. LOUIS JC VAMC NPI is 1902840622. The provider is registered as an organization entity type.
The provider Other Name Is Mt. Vernon Va Clinic.

The provider's business location address is:

4000 S WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864-998
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 enumeration date for this NPI number is 6/15/2006 and was last updated on 4/5/2022.

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: 4/28/2024

NPI Synchronization or Removal

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