1. Home
  2. Directory
  3. Kentucky
  4. Mayfield
  5. Clinic Center
  6. NPI Profile

MAYFIELD VA CBOC
NPI 1619116399
Clinic/Center - VA in Mayfield, KY

Active since February 19, 2009
1253 PARIS RD, SUITE A, MAYFIELD, KY 42066(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, Mar 1, 2017 (2 updates tracked since 2017).

About Mayfield Va Cboc NPPES

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

MAYFIELD VA CBOC (NPI 1619116399) is a healthcare organization registered as a va in Mayfield, Kentucky and active in the NPI registry since February 2009. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1619116399
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address1253 PARIS RD, SUITE AMayfield, KY 42066-4989
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateFebruary 19, 2009
Last NPPES UpdateJanuary 17, 20182 updates tracked since enumeration
✔ NPI 1619116399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1253 PARIS RD, Mayfield, KY 42066
Open in Google Maps ↗

Other Names 1

Other NameMayfield Va Cboc

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.

ZENITH PERPIGNANI NP
Nurse Practitioner (Psychiatric/Mental Health)
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
MRS. MARY SMITH WILLIAMS FNP
Nurse Practitioner (Family)
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
BROOKE MOORE RN
Registered Nurse
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
MAGEN SUZANN FANN RN
Registered Nurse
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
MRS. KIMBERLY JANE MILLER LPN
Licensed Practical Nurse
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
TIMOTHY JAMES STEFFEN
Clinic/Center (VA)
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455
DONNA HEDRICK LCSW
Social Worker (Clinical)
1253 PARIS RD
MAYFIELD, KY 42066
Graves County (270) 247-2455

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 1619116399. It was assigned to this organization in the NPPES registry on February 19, 2009.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 1253 Paris Rd Suite A, Mayfield, KY 42066. 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.