St Louis Jc Vamc
St Louis Jc Vamc is a VA Clinic/Center in Carbondale, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1130 E Walnut St Ste 100Carbondale, IL 62901-5007
Phone: (913) 578-4409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| VA Clinic/Center (primary) | Taxonomy 261QV0200X |
|---|
Record details
| NPI number | 1992067995 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Potter — Npi Team Member · (202) 382-2579 |
| Other names | Carbondale Va Cboc |
| NPI enumerated | June 14, 2012 |
| Last updated in NPPES | January 17, 2018 |
| Mailing address | Po Box 94462, Cleveland, OH 44101-4462 |