ST. LOUIS JC VAMC (NPI# 1114317369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114317369 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS JC VAMC |
| Other Organization Name | ST. LOUIS 4 VA CLINIC |
| Practice Address |
2600 Washington Boulevard St. Louis MO 63103-1420 |
| Mailing Address |
Po Box 94462 Cleveland OH 44101-4462 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | ERIN D POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ST. LOUIS 4 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396135513 | St. Louis Jc Vamc | Clinic/Center | 3615 Olive Street, St. Louis, MO 63108-3604 | 2015-01-26 |
| 1558751776 | St. Louis Jc Vamc | Clinic/Center | 3403 Heartland Street, Marion, IL 62959-6393 | 2015-01-26 |
| 1992067995 | St. Louis Jc Vamc | Clinic/Center | 1130 E Walnut St, Suite 100, Carbondale, IL 62901-5007 | 2012-06-14 |
| 1497012652 | St. Louis Jc Vamc | Clinic/Center | 608 Rollie Moore Drive, Harrisburg, IL 62946-9998 | 2012-04-12 |
| 1902198922 | St. Louis Jc Vamc | Clinic/Center | 1627 A Roy Dr, Washington, MO 63090-5008 | 2011-05-10 |
| 1619116399 | St. Louis Jc Vamc | Clinic/Center | 1253 Paris Rd, Suite A, Mayfield, KY 42066-4989 | 2009-02-19 |
| 1518155878 | St. Louis Jc Vamc | Clinic/Center | 6854 Parker Rd, Florissant, MO 63033-5313 | 2007-10-11 |
| 1578616892 | St. Louis Jc Vamc | Clinic/Center | 99 Stagecoach Rd, Madisonville, KY 42431-8009 | 2007-01-19 |
| 1902840622 | St. Louis Jc Vamc | Clinic/Center | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2006-06-15 |
| 1508809948 | St. Louis Jc Vamc | Clinic/Center | 2420 Linwood Dr, Suite 3, Paragould, AR 72450-6122 | 2006-06-14 |
| Street Address |
2600 WASHINGTON BOULEVARD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63103-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355045 | Dimensions of Care | Home Health | 1911washington Ave, Saint Louis, MO 63103 | 2017-09-26 |
| 1467972752 | Rebecca Jones | Social Worker | 1430 Olive Street, 500, St. Louis, MO 63103 | 2017-06-27 |
| 1780124511 | Priority Consumer Directed Services LLC | Home Health | 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 | 2017-02-27 |
| 1437562766 | Lindsey's Stepping Stones LLC | In Home Supportive Care | 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 | 2014-06-04 |
| 1952711046 | Jonathan Burch | Specialist/Technologist | 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 | 2014-04-29 |
| 1912329954 | Chanel Mitchell | Social Worker | 1430 Olive, Suite 500, Saint Louis, MO 63103 | 2014-01-10 |
| 1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
| 1710240023 | Dorothy Harris | Licensed Practical Nurse | 615 North Grand, Saint Louis, MO 63103 | 2012-06-21 |
| 1932407335 | Terence Michael Crowley | Chiropractor | 3141 Locust St Ste 200, Saint Louis, MO 63103 | 2011-03-09 |
| 1104123470 | Thompson Home Health Team LLC | Chore Provider | 3101 Olive Street, St Louis, MO 63103 | 2011-02-22 |
| Find all providers in zip 63103 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396135513 | St. Louis Jc Vamc | Clinic/Center | 3615 Olive Street, St. Louis, MO 63108-3604 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264824 | Fayetteville Vamc | Clinic/Center | 3015 Connecticut Ave, Joplin, MO 64804-3035 | 2019-03-19 |
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1902198922 | St. Louis Jc Vamc | Clinic/Center | 1627 A Roy Dr, Washington, MO 63090-5008 | 2011-05-10 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1134375546 | Kansas City Vamc | Clinic/Center | 3430 W Edgewood Dr, Jefferson City, MO 65109-6961 | 2008-08-18 |
| 1518155878 | St. Louis Jc Vamc | Clinic/Center | 6854 Parker Rd, Florissant, MO 63033-5313 | 2007-10-11 |
| 1457394033 | Kansas City Vamc | Clinic/Center | 207 Matlock Drive, St. James, MO 65559-9998 | 2006-06-13 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| 1932141009 | Kansas City Vamc | Clinic/Center | 3302 South Belt Hightway, Suite P, Saint Joseph, MO 64503-1514 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
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| 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.