Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. LOUIS JC VAMC
Active OrganizationVA Clinic · CARBONDALE, IL
Registration Details
- NPI Number
- 1992067995
- Provider Type
- Organization
- NPI Issued
- Jun 14, 2012 (13.855572393175 yrs)
- Last Updated
- Jan 17, 2018
Practice Information
- Address
-
1130 E WALNUT STSUITE 100CARBONDALE, IL, 629015007Browse IL providers · Browse ZIP 62901
- 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.