Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. LOUIS JC VAMC
Deactivated OrganizationST. LOUIS JC VAMC is a VA Clinic organization located in EFFINGHAM, Illinois. NPI 1629021035 is deactivated in the NPPES registry. Verify at CMS.
VA Clinic · EFFINGHAM, IL
This NPI has been deactivated.
The record was deactivated on November 7, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629021035
- Provider Type
- Organization
- NPI Issued
- May 18, 2006 (1.4726775956284 yrs)
- Last Updated
- Jan 17, 2018
- Deactivated
- Nov 7, 2007
Practice Information
- Address
-
1011 FORD AVENUEEFFINGHAM, IL, 624019998Browse IL providers · Browse ZIP 62401
- Phone
- 9135784409
- Primary Specialty
-
VA Clinic
261QV0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.