SHILOH VA CLINIC
NPI 1154374429
Clinic/Center - VA in Shiloh, IL

Active since May 18, 2006
1190 FORTUNE BLVD, SHILOH, IL 62269(913) 578-4409 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2018, Jan 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About Shiloh Va Clinic NPPES

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

SHILOH VA CLINIC (NPI 1154374429) is a healthcare organization registered as a va in Shiloh, Illinois and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1154374429
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address1190 FORTUNE BLVDShiloh, IL 62269
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 6, 20183 updates tracked since enumeration
NPI 1154374429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1190 FORTUNE BLVD, Shiloh, IL 62269

Other Names 1

Other NameShiloh Va Clinic

Other Providers at the Same Location NPPES 7

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

Registered Nurse
1190 FORTUNE BLVD
SHILOH, IL 62269
Family Medicine
1190 FORTUNE BLVD
SHILOH, IL 62269
Registered Nurse
1190 FORTUNE BLVD
SHILOH, IL 62269
Registered Nurse (Ambulatory Care)
1190 FORTUNE BLVD
SHILOH, IL 62269
Psychologist (Clinical)
1190 FORTUNE BLVD
SHILOH, IL 62269
Physical Therapist
1190 FORTUNE BLVD
SHILOH, IL 62269
Health and Wellness Coach
1190 FORTUNE BLVD
SHILOH, IL 62269

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 1154374429. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is also known as Shiloh VA Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 1190 Fortune Blvd, Shiloh, IL 62269. 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 July 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.