Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Carbondale, IL
NPI number
1992067995
Active
Practice location
1130 E Walnut St, Suite 100
Carbondale, IL 62901-5007
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...
8 other providers at this address
- Debra G. Travelstead, RNRegistered Nurse Carbondale, IL NPI 1538870043
- Destiny Rose Coty, LSWSocial Worker Carbondale, IL NPI 1285373373
- Gabrielle Brianne Moniger, AMSAHealth Information Technician Carbondale, IL NPI 1952012940
- Jessica Carol Pind, LPNLicensed Practical Nurse Carbondale, IL NPI 1407567928
- John Alan LongmireHealth Information Technician Carbondale, IL NPI 1013628171
- Meeka Kay PenningtonHealth Information Technician Carbondale, IL NPI 1497468102
- Natasha MarshallRegistered Nurse Carbondale, IL NPI 1477264653
- Phillip Lynn Easton Sr., R.N.Registered Nurse Carbondale, IL NPI 1295446797
About NPI 1992067995
St. Louis JC Vamc's National Provider Identifier is 1992067995, issued on Jun 14, 2012. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Carbondale, IL. The record was last updated on Jan 17, 2018.