Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Madisonville, KY
NPI number
1578616892
Active
Practice location
99 Stagecoach Rd
Madisonville, KY 42431-8009
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...
Another provider at this address
About NPI 1578616892
St. Louis JC Vamc's National Provider Identifier is 1578616892, issued on Jan 19, 2007. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Madisonville, KY. The record was last updated on Nov 6, 2020.