St. Louis 4 Va Clinic

LBN: St. Louis Jc Vamc
St. Louis 4 Va Clinic is an health care organization with primary practice located at 515 N Jefferson Ave , Saint Louis MO 63103-3000. The organization recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as the primary health care specialty. St. Louis Jc Vamc can be contacted via phone (913) 578-4409, or through Potter, Erin D via phone (202) 382-2579.

Contact Information

Primary practice address
515 N Jefferson Ave Saint Louis MO 63103-3000
Phone: (913) 578-4409
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potter, Erin D
Phone: (202) 382-2579

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1114317369
LBN Legal business name St. Louis Jc Vamc
DBA Doing business as St. Louis 4 Va Clinic
Authorized official Potter, Erin D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2015
Last updated May 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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