Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Owensboro, KY
NPI number
1407005481
Active
Practice location
2060 East Parrish Avenue
Owensboro, KY 42303-9998
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...
About NPI 1407005481
St. Louis JC Vamc's National Provider Identifier is 1407005481, issued on Sep 15, 2008. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Owensboro, KY. The record was last updated on Oct 26, 2022.