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St. Louis Jc Vamc
VA Clinic/Center in Washington, Missouri
NPI 1902198922

St. Louis Jc Vamc is a VA Clinic/Center based in Cleveland, MO and is specialized in VA. St. Louis Jc Vamc practices in Washington, MO. The NPI Number for St. Louis Jc Vamc is 1902198922 and holds a License No. (Missouri).

The current practice location address for St. Louis Jc Vamc is 1627 A Roy Dr, Washington, MO and can be reached out via phone at 913-578-4409. You can also correspond with St. Louis Jc Vamc through the mailing address at PO BOX 94462, CLEVELAND, OH - 44101-4462 (mailing address contact number: 913-578-4409).

Location: 1627 A Roy Dr, Washington, MO, 44101-4462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902198922
Provider Name
St. Louis Jc Vamc
Credential
Provider Entity Type
Organization
Address
1627 A Roy Dr, Washington, MO, 44101-4462
Phone Number
913-578-4409
Fax Number
Provider Enumeration Date
05/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1627 A Roy Dr
City
Washington
State
Missouri
Zip
63090-5008
Phone Number
913-578-4409
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 94462
City
Cleveland
State
Ohio
Zip
44101-4462
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.
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Definition
Definition to come...
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