MADISONVILLE VA CLINIC
NPI 1578616892
Clinic/Center - VA in Madisonville, KY

Active since January 19, 2007
99 STAGECOACH RD, MADISONVILLE, KY 42431(913) 578-4409 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2020, Jan 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About Madisonville Va Clinic NPPES

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

MADISONVILLE VA CLINIC (NPI 1578616892) is a healthcare organization registered as a va in Madisonville, Kentucky and active in the NPI registry since January 2007. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1578616892
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address99 STAGECOACH RDMadisonville, KY 42431-8009
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 6, 20203 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
NPI 1578616892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
99 STAGECOACH RD, Madisonville, KY 42431

Other Names 1

Other NameMadisonville Va Clinic

Other Providers at the Same Location NPPES

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

Psychologist
99 STAGECOACH RD
MADISONVILLE, KY 42431

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 1578616892. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is also known as Madisonville VA Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 99 Stagecoach Rd, Madisonville, KY 42431. 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 November 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.