ST. LOUIS JC VAMC


Address: 1253 Paris Rd, Suite A, Mayfield, KY 42066-4989
Phone: 9135784409

ST. LOUIS JC VAMC (NPI# 1619116399) 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) 1619116399
Entity Type Organization
Organization Name ST. LOUIS JC VAMC
Other Organization Name MAYFIELD VA CBOC
Practice Address 1253 Paris Rd
Suite A
Mayfield
KY 42066-4989
Mailing Address Po Box 94462
Cleveland
OH 44101-4462
Practice Telephone 9135784409
Mailing Telephone 9135784409
Enumeration Date 2009-02-19
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
Mayfield 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
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
1508809948 St. Louis Jc Vamc Clinic/Center 2420 Linwood Dr, Suite 3, Paragould, AR 72450-6122 2006-06-14

Office Location

Street Address 1253 PARIS RD
SUITE A
City MAYFIELD
State KY
Zip Code 42066-4989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154746063 Zenith Perpignani Nurse Practitioner 1253 Paris Rd, Mayfield, KY 42066-4989 2014-02-28
1114358157 Donna Hedrick Social Worker 1253 Paris Rd, Mayfield, KY 42066-4989 2013-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760031959 Snh Derby Tenant LLC Assisted Living Facility 1517 West Broadway Street, Mayfield, KY 42066 2019-09-10
1033674254 Mind, Body, Soul, LLC Clinic/Center 1325 Us 45 S, Suite C, Mayfield, KY 42066 2019-02-01
1699288936 Kimberly Kaye Gooch Developmental Therapist 3907 State Route 303, Mayfield, KY 42066 2017-11-08
1538604657 Courtney L Coleman Nurse Practitioner 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 2016-12-28
1659814721 Bertha Workman Voluntary or Charitable 331 South 7th Street, Mayfield, KY 42066 2016-11-22
1699174052 Laura Dassing Counselor 1325 Hwy 45 N, Mayfield, KY 42066 2014-08-21
1275947905 Wkda Services LLC Community/Behavioral Health 1325 U S Hwy 45n, Mayfield, KY 42066 2014-06-20
1538594247 Young Healthcare LLC Chiropractor 1011 Paris Road #341, Mayfield, KY 42066 2013-09-12
1811335649 Donald Bennett Dowdy Dentist 236 N. 6th St., Mayfield, KY 42066 2013-06-14
1578822623 Wanda Bingham Marshall Counselor 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 2012-05-10
Find all providers in zip 42066

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
1508015074 Louisville Vamc Clinic/Center 1911 Us Highway 227, Carrollton, KY 41008-8037 2008-09-09
1578616892 St. Louis Jc Vamc Clinic/Center 99 Stagecoach Rd, Madisonville, KY 42431-8009 2007-01-19
1952458960 Cincinnati Vamc Clinic/Center 7310 Turfway Road, Suite 510, Florence, KY 41042-1385 2007-01-04
1003855966 Lexington Vamc Clinic/Center 300 Medpark Drive, Somerset, KY 42503-9998 2006-06-06
1366480436 Huntington Vamc Clinic/Center 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9169 2006-06-02
1518910025 Louisville Vamc Clinic/Center 9208 Taylorsville Road, Louisville, KY 40299-9998 2006-05-18
1639120215 Nashville Vamc Clinic/Center 600 Us 31 West Bypass, Suite 12, Bowling Green, KY 42101-4905 2006-05-16
1972739936 Nashville Vamc Clinic/Center 1102 S Virginia St, Second Floor, Hopkinsville, KY 42240-3579 2009-06-04
1528205648 Lexington Vamc Clinic/Center 209 Pauline Dr, Berea, KY 40403-8889 2009-01-12
1407005481 St. Louis Jc Vamc Clinic/Center 3400 New Hartford Rd, Owensboro, KY 42303-1705 2008-09-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City MAYFIELD
Zip Code 42066

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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