Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Scott Air Force Base, IL
NPI number
1093192908
Active
Practice location
310 W Losey St, 375th Medical Group
Scott Air Force Base, IL 62225-5250
Mailing address
PO Box 94462
Cleveland, OH 44101-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
148 other providers at this address
- 375th Medgrp-ScottMilitary/U.S. Coast Guard Pharmacy Scott Afb, IL NPI 1790190940
- 375th Medgrp-ScottMilitary/U.S. Coast Guard Outpatient Clinic/Center Scott Afb, IL NPI 1851373161
- 375th Medgrp-ScottMilitary Hospital Scott Afb, IL NPI 1861478448
- Dfas-Jfll/inMilitary General Acute Care Hospital Scott Afb, IL NPI 1679842306
- United States Air ForceMilitary Hospital Scott Afb, IL NPI 1114287059
- Abby McElroy, WHNPWomen's Health Nurse Practitioner Scott Air Force Base, IL NPI 1962197376
- Adam Kirk Derrickson, MDInternal Medicine Physician Scott Afb, IL NPI 1265525414
- Addison F. Jacobs, MDDiagnostic Radiology Physician Scott Air Force Base, IL NPI 1679109482
- Ainsley McCullough, MDObstetrics & Gynecology Physician Scott Afb, IL NPI 1225568629
- Alfred J. Ozanian, PhDClinical Social Worker Scott Afb, IL NPI 1871588459
- Alyssa Rose HallFamily Nurse Practitioner Scott Afb, IL NPI 1477138261
- Amanda Jayne Pinkham, LCSWClinical Social Worker Scott Afb, IL NPI 1609012434
About NPI 1093192908
St. Louis JC Vamc's National Provider Identifier is 1093192908, issued on Apr 29, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Scott Air Force Base, IL. The record was last updated on May 7, 2026.