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St. Louis Jc Vamc
VA Clinic/Center in Harrisburg, Illinois
NPI 1497012652

St. Louis Jc Vamc is a VA Clinic/Center based in Cleveland, IL and is specialized in VA. St. Louis Jc Vamc practices in Harrisburg, IL. The NPI Number for St. Louis Jc Vamc is 1497012652 and holds a License No. (Illinois).

The current practice location address for St. Louis Jc Vamc is 608 Rollie Moore Drive, Harrisburg, IL and can be reached out via phone at 913-578-4409.

Location: 608 Rollie Moore Drive, Harrisburg, IL, 44101-4462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497012652
Provider Name
St. Louis Jc Vamc
Credential
Provider Entity Type
Organization
Address
608 Rollie Moore Drive, Harrisburg, IL, 44101-4462
Phone Number
913-578-4409
Fax Number
Provider Enumeration Date
04/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
608 Rollie Moore Drive
City
Harrisburg
State
Illinois
Zip
62946-9998
Phone Number
913-578-4409
Fax Number
person
Provider Business Mailing Address Details
Address
608 Rollie Moore Drive
City
Harrisburg
State
Illinois
Zip
62946-9998
Phone Number
913-578-4409
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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