ST. LOUIS JC VAMC; NPI #1992067995

Contact Information

ST. LOUIS JC VAMC

1130 E WALNUT ST
SUITE 100
CARBONDALE, IL 62901-5007

Phone: 913-578-4409
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for ST. LOUIS JC VAMC

NPI Number	`1992067995`
LBN Legal business name	ST. LOUIS JC VAMC
Authorized official	ERIN POTTER - (NPI TEAM MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/14/2012
Last updated	01/17/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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