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St. Louis Jc Vamc

Clinic/Center, VA in Owensboro, KY. Organization (NPI-2).

NPI number1407005481
StatusActive
Last updated in NPPESOct 26, 2022

Details

NPI
1407005481
Entity type
Organization (NPI-2)
Legal business name
St. Louis Jc Vamc
Organization subpart
No
Enumeration date
Sep 15, 2008
Certification date
Oct 20, 2022
Last updated
Oct 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QV0200X Clinic/Center, VA––Yes

Other names

  • Owensboro Va Clinic (Other Name)

Practice location

2060 East Parrish Avenue
Owensboro, KY 42303-9998

Phone 913-578-4409

Mailing address

Po Box 94462
Cleveland, OH 44101-4462

Phone 913-578-4409

Authorized official

Erin Potter
Npi Team Member
2023822579

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Other VA Clinic/Center providers in Owensboro, KY

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