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ST. LOUIS JC VAMC
NPI 1093192908
Clinic/Center - VA in Scott Air Force Base, IL

Active since April 29, 2015
310 W LOSEY ST, 375TH MEDICAL GROUP, SCOTT AIR FORCE BASE, IL 62225(913) 578-4409 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jan 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About St. Louis Jc Vamc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LOUIS JC VAMC (NPI 1093192908) is a healthcare organization registered as a va in Scott Air Force Base, Illinois and active in the NPI registry since April 2015. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1093192908
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address310 W LOSEY ST, 375TH MEDICAL GROUPScott Air Force Base, IL 62225-5250
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateApril 29, 2015
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1093192908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
310 W LOSEY ST, Scott Air Force Base, IL 62225
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Other Names 1

Other NameScott Air Force Base Va Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD ALAN SCHULTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7079
DAWN WILSON PT
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6267
MR. SEAN J MCNAMARA RPH.
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6150
DR. PATSY FRANCES KREMSREITER MD
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-9355
JOAN FOMBOH TELAZIE-SIMONS RN
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. SARAH KATHERINE TURBUSH DDS
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. CASEY TIMMERMAN DO
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669
CHRISTINE LEIGH KMIECIK
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Louis Jc Vamc's NPI number?

The NPI number for St. Louis Jc Vamc is 1093192908. It was assigned to this organization in the NPPES registry on April 29, 2015. The provider is also known as Scott Air Force Base VA Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 310 W Losey St 375th Medical Group, Scott Air Force Base, IL 62225. The listed phone number is (913) 578-4409.

What is St. Louis Jc Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for St. Louis Jc Vamc was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.