ST. LOUIS JC VAMC


Address: 2420 Linwood Dr, Suite 3, Paragould, AR 72450-6122
Phone: 9135784409

ST. LOUIS JC VAMC (NPI# 1508809948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508809948
Entity Type Organization
Organization Name ST. LOUIS JC VAMC
Other Organization Name PARAGOULD VA CBOC
Practice Address 2420 Linwood Dr
Suite 3
Paragould
AR 72450-6122
Mailing Address Po Box 94462
Cleveland
OH 44101-4462
Practice Telephone 9135784409
Mailing Telephone 9135784409
Enumeration Date 2006-06-14
Last Update Date 2018-01-17
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Paragould VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114317369 St. Louis Jc Vamc Clinic/Center 2600 Washington Boulevard, St. Louis, MO 63103-1420 2015-01-27
1396135513 St. Louis Jc Vamc Clinic/Center 3615 Olive Street, St. Louis, MO 63108-3604 2015-01-26
1558751776 St. Louis Jc Vamc Clinic/Center 3403 Heartland Street, Marion, IL 62959-6393 2015-01-26
1992067995 St. Louis Jc Vamc Clinic/Center 1130 E Walnut St, Suite 100, Carbondale, IL 62901-5007 2012-06-14
1497012652 St. Louis Jc Vamc Clinic/Center 608 Rollie Moore Drive, Harrisburg, IL 62946-9998 2012-04-12
1902198922 St. Louis Jc Vamc Clinic/Center 1627 A Roy Dr, Washington, MO 63090-5008 2011-05-10
1619116399 St. Louis Jc Vamc Clinic/Center 1253 Paris Rd, Suite A, Mayfield, KY 42066-4989 2009-02-19
1518155878 St. Louis Jc Vamc Clinic/Center 6854 Parker Rd, Florissant, MO 63033-5313 2007-10-11
1578616892 St. Louis Jc Vamc Clinic/Center 99 Stagecoach Rd, Madisonville, KY 42431-8009 2007-01-19
1902840622 St. Louis Jc Vamc Clinic/Center 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 2006-06-15

Office Location

Street Address 2420 LINWOOD DR
SUITE 3
City PARAGOULD
State AR
Zip Code 72450-6122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417509886 Alexander Laffoon Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2019-07-15
1891253670 Kaylyn Wynn Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2019-03-11
1285108928 Whitney Lee Maxwell Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2019-01-16
1326516451 Kristen Nicole Wooten Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2018-11-07
1700365509 April Rogers Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2018-08-13
1497232631 Jordan Faulkner Counselor 2420 Linwood Dr, Paragould, AR 72450 2018-07-20
1497261192 Sara Kay Mcneil Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2017-12-18
1881110930 Vincent Tyrone Livingston Jr. Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450 2017-08-21
1457877649 Denise Middleton Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2017-08-18
1639540966 Samantha Brown Case Manager/Care Coordinator 2420 Linwood Dr, Paragould, AR 72450-6122 2015-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063029460 Onward and Upward Counseling, Pllc Counselor 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 2020-09-29
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1205457405 Arkansas Methodist Hospital Corp. Family Medicine 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 2020-04-29
1053968222 Stewart Pediatric Therapy LLC Occupational Therapist 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 2019-08-22
1821575911 Ashley Brooke Mcleskey Physical Therapy Assistant 9504 Hwy 135 N, Paragould, AR 72450 2018-07-23
1437660925 Susan Leigh Boling Behavioral Analyst 3171 Green 905 Road, Paragould, AR 72450 2017-10-24
1518481589 Amy Elms Nurse Practitioner 1000 W Kingshighway Ste 3, Paragould, AR 72450 2017-08-01
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1285097949 Chelsea Lee Thompson Family Medicine 1110 W. Kingshighway, Paragould, AR 72450 2016-03-31
1609234269 Bethel Burris Oliver Dentist 2713 W Kings Highway, Paragould, AR 72450 2016-02-10
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528456811 Fayetteville Vamc Clinic/Center 216 East Township Street, Fayetteville, AR 72703-2818 2015-01-08
1073821518 Little Rock Vamc Clinic/Center 1520 E Dave Ward Dr, Conway, AR 72032-9649 2010-09-17
1831415751 Fayetteville Vamc Clinic/Center 2713 W Commercial St, Ozark, AR 72949-3409 2010-04-16
1649401316 Memphis Vamc Clinic/Center 125 Quarles Ln, West Helena, AR 72390-1923 2009-07-29
1417996489 Shreveport Vamc Clinic/Center 910 Realtor Road, Texarkana, AR 71854-1020 2006-06-05
1063450617 Little Rock Vamc Clinic/Center 759 Highway 62 E, Suite 331, Mountain Home, AR 72653-3260 2006-06-04
1861439697 Little Rock Vamc Clinic/Center 300 Morrow St S, Mena, AR 71953 2006-06-01
1619923398 Memphis Vamc Clinic/Center 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 2006-05-25
1215982582 Little Rock Vamc Clinic/Center 177 Sawtooth Oak St, Hot Springs, AR 71901-7160 2006-05-24
1215980164 Little Rock Vamc Clinic/Center 1702 N West Ave, El Dorado, AR 71730 2006-05-19
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Competitor

Search similar providers

City PARAGOULD
Zip Code 72450

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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