MT. VERNON VA CLINIC
NPI 1902840622
Clinic/Center - VA in Mount Vernon, IL

Active since June 15, 2006
4000 S WATER TOWER PL, MOUNT VERNON, IL 62864(913) 578-4409 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Jan 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About Mt. Vernon Va Clinic NPPES

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

MT. VERNON VA CLINIC (NPI 1902840622) is a healthcare organization registered as a va in Mount Vernon, Illinois and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1902840622
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameST. LOUIS JC VAMC
Location Address4000 S WATER TOWER PLMount Vernon, IL 62864-9998
Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 5, 20223 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1902840622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4000 S WATER TOWER PL, Mount Vernon, IL 62864

Other Names 1

Other NameMt. Vernon Va Clinic

Other Providers at the Same Location NPPES 9

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

Technician, Health Information
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Nurse Practitioner
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Technician, Health Information
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Registered Nurse
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Licensed Practical Nurse
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864
Specialist/Technologist, Health Information
4000 S WATER TOWER PL
MOUNT VERNON, IL 62864

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 1902840622. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as Mt. Vernon VA Clinic.

Where is St. Louis Jc Vamc located?

St. Louis Jc Vamc is located at 4000 S Water Tower Pl, Mount Vernon, IL 62864. 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 April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.