ST. LOUIS 3 VA CLINIC
NPI 1396135513
Clinic/Center - VA in St. Louis, MO

Active since January 26, 2015
3615 OLIVE STREET, ST. LOUIS, MO 63108(913) 578-4409 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 17, 2018, Apr 27, 2017, Mar 1, 2017 (3 updates tracked since 2017).

About St. Louis 3 Va Clinic NPPES

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

ST. LOUIS 3 VA CLINIC (NPI 1396135513) is a healthcare organization registered as a va in St. Louis, Missouri and active in the NPI registry since January 2015. The organization lists Erin D Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1396135513
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address3615 OLIVE STREETSt. Louis, MO 63108-3604
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Organization SubpartNo
Authorized OfficialErin D PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJanuary 17, 20183 updates tracked since enumeration
NPI 1396135513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3615 OLIVE STREET, St. Louis, MO 63108

Other Names 1

Other NameSt. Louis 3 Va Clinic

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 1396135513. It was assigned to this organization in the NPPES registry on January 26, 2015. The provider is also known as St. Louis 3 VA Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 3615 Olive Street, St. Louis, MO 63108. 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 January 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.