ST. LOUIS JC VAMC – NPI #1154374429
Clinic/Center

ST. LOUIS JC VAMC is an AHC clinic located in SHILOH, IL. NPPES has assigned the NPI number 1154374429 to ST. LOUIS JC VAMC on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ST. LOUIS JC VAMC is also known by the name SHILOH VA CLINIC. The primary taxonomy selected by this provider is 261QV0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in VA

The NPI profile was previously updated about 8 years ago on Jul 06, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. LOUIS JC VAMC below.

NPI Profile for
ST. LOUIS JC VAMC

NPI Number
1154374429
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. LOUIS JC VAMC
Other Name: SHILOH VA CLINIC
Primary location
1190 FORTUNE BLVD
SHILOH, IL 62269
Phone: (913) 578-4409 Fax:
Mailing address
PO BOX 94462
CLEVELAND, OH 44101-4462
Phone: (913) 578-4409 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QV0200X
- Clinic/Center / VA (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.