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HARRISBURG VA CBOC
NPI 1497012652
Clinic/Center - VA in Harrisburg, IL

Active since April 12, 2012
608 ROLLIE MOORE DRIVE, HARRISBURG, IL 62946(913) 578-4409 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2018, Mar 1, 2017 (2 updates tracked since 2017).

About Harrisburg Va Cboc NPPES

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

HARRISBURG VA CBOC (NPI 1497012652) is a healthcare organization registered as a va in Harrisburg, Illinois and active in the NPI registry since April 2012. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1497012652
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address608 ROLLIE MOORE DRIVEHarrisburg, IL 62946-9998
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409 · Fax (913) 578-4536
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateApril 12, 2012
Last NPPES UpdateJanuary 17, 20182 updates tracked since enumeration
✔ NPI 1497012652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
608 ROLLIE MOORE DRIVE, Harrisburg, IL 62946
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Other Names 1

Other NameHarrisburg Va Cboc

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 1497012652. It was assigned to this organization in the NPPES registry on April 12, 2012. The provider is also known as Harrisburg VA Cboc.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 608 Rollie Moore Drive, Harrisburg, IL 62946. 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.