Organization · Type 2 NPI

St. Louis JC Vamc

VA Clinic/Center · Mount Vernon, IL

NPI number 1902840622 Active

About NPI 1902840622

St. Louis JC Vamc's National Provider Identifier is 1902840622, issued on Jun 15, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 5, 2022.