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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST. LOUIS JC VAMC

Active Organization

VA Clinic · MOUNT VERNON, IL

Registration Details

NPI Number
1902840622
Provider Type
Organization
NPI Issued
Jun 15, 2006 (19.852640876476 yrs)
Last Updated
Apr 5, 2022

Practice Information

Address
4000 S WATER TOWER PL
MOUNT VERNON, IL, 628649998
Browse IL providers · Browse ZIP 62864
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.