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ST. LOUIS JC VAMC
NPI 1902685159
Clinic/Center - VA in St. Louis, MO

Active since September 27, 2023
1 JEFFERSON BARRACKS DR, ST. LOUIS, MO 63125(913) 578-4409(913) 578-4536 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Louis Jc Vamc NPPES

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

ST. LOUIS JC VAMC (NPI 1902685159) is a healthcare organization registered as a va in St. Louis, Missouri and active in the NPI registry since September 2023. The organization lists Erin Denise Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1902685159
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address1 JEFFERSON BARRACKS DRSt. Louis, MO 63125-4181
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409 · Fax (913) 578-4536
Phone(913) 578-4409
Fax(913) 578-4536
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team · (202) 382-2579
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1902685159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1 JEFFERSON BARRACKS DR, St. Louis, MO 63125
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Other Names 1

Other NameSt. Louis Va Mobile Clinic

Other Providers at the Same Location NPPES 20

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

KAREN ANDRE JOHNSTON PH.D.
Psychologist (Clinical)
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
SUSAN GILMOR LCSW
Social Worker
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
TAYLOR NICOLE MELGAR PA-C
Physician Assistant
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
DR. DANNEE TRUONG PHARMD
Pharmacist (Geriatric)
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
DR. ANTONINA S GESMUNDO MD
Psychiatry & Neurology (Psychiatry)
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 894-6636
DR. MONA BAHL M.D.
Internal Medicine
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
MRS. ANGELA M BROCK ANP-BC
Nurse Practitioner (Adult Health)
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 289-7676
GREG BURIAN
Registered Nurse
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100

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 1902685159. It was assigned to this organization in the NPPES registry on September 27, 2023. The provider is also known as St. Louis VA Mobile Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 1 Jefferson Barracks Dr, St. Louis, MO 63125. 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 September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.