# ST. LOUIS VAMC JOHN COCHRAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215114103
- **Authorized official:** BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
- **Authorized official phone:** (314) 652-4100

## Contact information

- **Practice address:** 915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
- **Practice address phone:** (314) 652-4100
- **Mailing address:** 915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/23/2008