Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Effingham, IL
NPI number
1629021035
Active · reactivated Sep 16, 2009
Practice location
1011 Ford Avenue
Effingham, IL 62401-9998
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 1629021035
St. Louis JC Vamc's National Provider Identifier is 1629021035, issued on May 18, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Effingham, IL. The record was last updated on Jan 17, 2018.